Laserfiche WebLink
I <br /> i <br /> 1 <br /> hC1 H <br /> x O <br /> A :C <br /> YHTHn <br /> 0 <br /> ooH7] <br /> C�z <br /> MOS <br /> r. 8 <br /> M" <br /> Q. n <br /> z <br /> No. �'3!Q`�7 CITY OF EVERETT ORDERL NO •JAI�L� <br /> APPLICATION FOR WATER SERVICE oRDEve <br /> H H J• r,7 d"'5s )F DAT[_1� a ._1OLL <br /> 8yH ❑ FIXED � �cLGc ssn TONSTING .o <br /> C) b TA � DEPOSIT [ <br /> � K ^ stQ <br /> H HO En SERVICE (MY ADDRESS)- Ts� ��Q -----BLK.. LOT DD. <br /> - OWNEn CONTRACTOR <br /> IT p ^1 <br /> INSTAL TIERED S NVICE <br /> I HEREBY APPLY FOR 1E-IHE-CF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EKISTING -� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. via" 1: <br /> MATERIALS ti IN.I 1 IN. t IN.I PRICE AMOUNT <br /> PIPE <br /> 1 ` P925Q <br /> CORPORATION 3.gOVZ— <br /> SIR, �III <br /> — —_ <br /> CURB COCK OT -- <br /> L 1 SERVICE BOX PLASTIC •• C 1 I 1 <br /> METERiwaMITPT <br /> 1 <br /> AM,SRI,� .cam y�l_y_ TYPE: - <br /> + METER BO%U CONCRETE-__---__SMALL eCARGE. <br /> ++ D <br /> ON <br /> DATE INSTALLED: /�• Z Yr. / I OFF SUB TOTAL <br /> I COOK I LABOR AND EQUIPMENT RENTAL NOUR9 RATE — <br /> /Q3 —__-- <br /> -- <br /> - I-- <br /> -I <br /> TOTAL <br /> REMARKS: <br /> 1 <br />