Laserfiche WebLink
I APPL� a� �l� � CITY OF EVERETT seRvice • � <br /> No. ORDER NO. •.. . . ., <br /> - � APPLICATION FOR WATER SERVICE DATE_v�l�_1�� <br /> � FIXED � <br /> y,� DEPOSIT s r c,� W�• <br /> �,-a IVo. <br /> I SERVICE feYADDRese)�(�_LL�--JIJ�"�__�S(,Jt1�_�.BLf(._—_L07_¢�—ADD.�uL�!1 <br /> C NNE �/'�L/�}�1�f —CONTRACTOR —_— <br /> �( �C FLAT <br /> INSTAL "r � ED SERVICE <br /> I HEREBY AFPLY FOR THE USE OF WATER IN ACCORDANCE WITN THE � i / /f <br /> OROINANCES AND POLICIES OF ?NE WATER DEPARTMEN7 NOW EXISTING -� /. /// !/.n t — <br /> OR AS SAME MAY BE HEREAF7EP, CNANGED. sicNeo: X ����C�ti��� <br /> MATERIALS �' ItL� I IN. � 2 IN. i � PRIGE AMOUNT <br /> � I I <br /> PIPE COPPER-- GALV.•-STEEL I i <br /> CORPORATION _ _ _I_ I_I___ _ <br /> CURB COCK OT I I <br /> SERVICE BOX PLASTIC -- G I I I I <br /> METER VALVE <br /> METER No. TYPE: I�- - ----- �— —�— �. <br /> METER BOX CONCRETE SMALL LARGE j <br /> __.___._ _— I_-----_ — <br /> _—_ .— I —L--�- <br /> _ � '_i _ I— —_ — <br /> --'_'___� I �— -- <br /> __—'— � I _'_ ' <br /> DATE INSTALLED: �9����/ I � OFF SUB TOTAL <br /> -f� <br /> COOE � LAOOq ANO EOtIIPMENf RENTAL � MOURS pATE <br /> I ��/v,����� _-_I <br /> -__ - - <br /> "-_ _ _ -_ __..__ _ _- <br /> � . C�-� �------ i --- - <br /> -- - -- ---- i- --- - <br /> -- - - i -- <br /> -- --- -- -- <br /> ----------- ___--- - - ---- -!-- --- <br /> � i <br /> 70TAL <br /> REMARKS: <br />