Laserfiche WebLink
r <br /> R�71RY14Cagr rr4F;nt:•::: :,.,... ... .. ... ... ,..r..,_.. .. . ..- .. ,. .� _.,.,,.: :—*. - -S , <br /> APP)_. ,.Y�/ �`) CITY OF EVERETT Bcnvlcc N° 7389 <br /> No. L✓ (P ORDER <br /> APPLICATION FOR WATER SERVICE <br /> DATE_L� <br /> Ei FIXED s /� TO POSTING .Aoia� N o. <br /> ❑ DEPOSIT cr �-7 <br /> SERVICE (BY ADDRESS) LoJ �� .JLC SLK._—_LOT__17 ADD. <br /> OWNER—, «--?!1 S —CONTRACTOR--. <br /> INSTALL METERE�ERVICE__ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED BICNED: X _-_--.---_-._-- <br /> MATERIAL■ w IN. I IN. S IN. Jill PRICE AMOUNT <br /> PIPE COPPER .- GALV. - STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C 1 I _, <br /> METER VALVE <br /> METER NO. TYPE: <br /> METER BOX CONCRETE SMALL LARGE <br /> / y ON <br /> SUB TOTAL <br /> DATE INSTALLED: /– ��_ �'�� I L] OFF <br /> CODE ��,•!�, LABOR AND LOUIPMEW RENTAL HOURS RATE <br /> I l PFI O�GLrvj, <br /> TOTAL <br /> REMARKS: <br /> _ r <br />