Laserfiche WebLink
APPL. ��� ` APF LIC.kTIOM FOR SERVICE ORDERSERVICEN2 ( ;j 3 <br /> NO. P/v,— ORDER <br /> CITY OF EVERETT WATER DEPT. T <br /> 0-FIXE O DATE. -_ : -IS(wl <br /> ❑ Dy POSIT s/� S. W.0. <br /> {� ? / �r� +L <br /> No.-� <br /> SERVICE (SY ADDRUB) � � �/ -&LJA .M _SLK.-___LOLL-)--ADD <br /> n <br /> % - CONTRACTOR _ <br /> INSTALL�/4_METERED SERVICE_ -_r --_ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE / ,1 <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X <br /> MATERIALS 45 IN. 1 IN. I E IN. I PRICE AMOUNT <br /> PIPE ( COPPE ( GALV.-STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE SOX PLASTIC •• C 1 <br /> -METER VALVE/S / / / <br /> METER NO.Aj/? y'���//�-� �C. TYPE: zelyt.ti'/ I (S �_ - 3 ✓ <br /> -f+IETER Bg7L_�CONCRETEI 4MALL LARGE J �5 <br /> love ' I/1e <br /> Ak,i=ce - <br /> -- I I <br /> ON <br /> DATE INSTALLED: p... s 3 �� S� � OFF ��yy y � SUB TOTAL C <br /> nn L <br /> CODE LABOR AND EQUIPMENT RENTAL VHOURS RATE <br /> i <br /> -- ----------�--- it I <br /> la --__-__ TOTAL <br /> ` FIVIARKS: <br />