Laserfiche WebLink
APPL•,`?3i APPLICATION 17OR SERVICE sFHVICE N° 29 <br /> .No. <br /> o:rnc j. <br /> ,6 � CITY OF EVERETT WATER DEPT. i <br /> I ECI <br /> ❑ - <br /> DEPOSIT S W.No0 ---^-___ <br /> SERVICE (BY ADDRESS)— C c, �' BLK. LOT__ADD_— _ <br /> INER CONTRACTOR_.__ <br /> ICL C `� FLAT <br /> TAtI-- ERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �( LQde�,� LC <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIGN D• ____- <br /> �- MATERIALS % IN. I IN. I PRICE AMOUNT <br /> mIPE - P E .. GALV.-STEEL 4..I � <br /> CORPORATION -F�- <br /> URB COCK OT <br /> SERVICE BOX PLA IC -• C I I 0 <br /> METER VALVE ----__- <br /> METER No. TYPE: I II —){— <br /> METER BOX CONCRETE _ SMALL LARGE J <br /> _ I <br /> ON <br /> DATE INSTALLED: /0 OFF SUD TOTAL )7 <br /> CODE LASOR AND EQUIPMENT RENTAL HOURS RATE <br /> if3 ;3119 <br /> / <br /> TOTAL <br /> REMARKS: <br /> r <br /> i'T <br />