Laserfiche WebLink
1R�a4 <br /> YP <br /> l� <br /> H <br /> � ro <br /> C <br /> Y H N <br /> H0 <br /> b M b <br /> N H <br /> NO. <br /> zd0 �L/ CITY OF EVERETT ORDER No 8 138 <br /> OROER <br /> APPLICATION FOR WATER SERVICE <br /> y �1%ED <br /> L' f+ ❑ DEPOSITS / -5-TA DAUM,. .._ W.0. <br /> S <br /> - <br /> tE SERVICE IEr GROSS) /---��- <br /> H OWNER_ � CONTRACTOR. <br /> In <br /> /, — <br /> 111���333 O PL <br /> INSTALL- RED SER <br /> 1 HEREBY APPLY FOR THE ER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: %� �V=.�• - <br /> OR AS 5AME MAY BE HEREAFTER CHANGED - - ' -"'--- <br /> MATERIALS W IN.I 1 IN. A IN. PRICK AMOUNT <br /> PIPE COPPER••GALV.--STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC C 1 <br /> METER VALVE <br /> � METER No. � G TYPE <br /> METER BOX CONCRETE SMALL LARGE <br /> I <br /> "ft ❑ ON <br /> DATE INSTALLED: Z I ❑ OFF SUB TOTAL <br /> 2� <br /> CODE I r LABOR ANDEOUIPMENI RENTAL HOURS RATE <br /> um <br /> NtO-A MON- <br /> --- -- -' - Wilt be taken on service <br /> 1 ��–� apRlka��Hn a— <br /> it '. -- ---- -- a mw RTCV — <br /> �- TOTAL <br /> REMARKS: .._--.— <br />