Laserfiche WebLink
' <br />AIR- n 3 APPLICATION FOR SERVICE <br />No. L I� 3 <br />SERVICE N? 2396 <br />CITY OF EVERETT WATER DEPT. <br />oleoER <br />FIXED ; <br />DATE-124 1-" 19 1 �.•_ <br />I� DEPOSIT•+".�l'��A^7 <br />IIVO O. <br />/`� <br />✓ C.. .�l_�,1 <br />I n"+ S�TT <br />BE R"'CE (QQBY�� �ADD11nB) J•� ___pLK.___.—LOT___ADO.— <br />OWNER( & !;!gM <br />2Z ---.._CONTRACTOR. <br />; _— <br />INStTALI !FF._�,LEPrn <br />1 HERCBY APPLY FOR THE USE OF WAFER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED:% <br />MATERIALq <br />$ IN. I IN. 2 IN, <br />I PRICE <br />A AMOUNT <br />1 PIPE ---. - --_CCOPPER GALV. -- STEEL <br />CORPORATION <br />CURIIr— T <br />SERVICE SOX PLASTIC - CI <br />METER VALVE - L_ -- -- <br />METER No. TYPE <br />METER - NCCONCRETE SMALL CLARGE <br />// <br />vc <br />M ON <br />L �DATE INSTALLED: _ 7- 2 I OFF SUB TOTAL <br />CI LABOR AND EQUIPMENT RENTAL HOURA RATE <br />r'{�✓.. TOTAL <br />REMARKS: 44 ^ /� <br />