Laserfiche WebLink
APPL. SERVICE 1�I <br /> No. a �i./ CITY OF EVERETT ORDER 1710- 7393 <br /> APPLICATION FOR WATER SERVICE p� <br /> FIXEDv DATE _l0_(L <br /> er <br /> DEPOSIT 31Q,S ' T(1 P(1�TINf, .3 a� <br /> W. 0. <br /> N <br /> ,4T_ 7D-7 <br /> SERVICE (SY ADDRESS) :A/ / LOT 9 ADD.— <br /> Ow <br /> DD.OWNER_ f JitL-� ___CONTRACTOR <br /> 21 1 <br /> INSTALL- METERED SERVICE--_ <br /> I HEREf1Y 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 S77tq <br /> X - - <br /> MATERIALS IN. 1 IN. ! IN. I PRICE AMO U NT <br /> PIPE _ COPPER••GALV.--STEEL _ <br /> CRON <br /> CUURBB COCK OT <br /> SERVICE BOX _ PLASTIC .- C 1 <br /> METER VALVE <br /> METER No. _ TYPE. — <br /> METER BOX CONCRETE _ SMALL LARGE <br /> ON <br /> DATE INSTALLED: OFF SUB TOTAL <br /> COON LAROv %ND EOUIPMA... RENTAL HOUpE RATE <br /> o Rv- -- - — — - <br /> --- - rIn ��C11VIV <br /> TOTAL <br /> REMARKS: / n 7 <br />