Laserfiche WebLink
APPL;) ? J 2 <br />No, _ (I <br />❑- FIXED <br />❑-1� — <br />DEPOSIT 8 <br />INSTALL 1 1 1 <br />I HEREBY APPLY FOR <br />ORDINANCES AND POI <br />OR AS SAMF MAY OF <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />Fz 7 <br />CQ �9TN 1� c L- <br />ICE WITH THE <br />NOW EXISTING <br />SIGNED: X <br />SERVICE -I I' cl <br />ORDER NO. <br />DATE--- <br />W. O. <br />APr� <br />MATERIALS <br />w IN. <br />I 1 IN. I A IN. <br />I <br />poricir <br />AMOUNT <br />PIPE COPPER GALV_ -- STEEL <br />- <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC •• C I <br />METER VALVE <br />METER No. GfJ.1P- I TYPE: <br />METER BOX '. PKU//'G MAL_- LARGE <br />t!—I <br />, <br />— f - I " �us7gZilt.CannrsTarl-1S�/ G <br />DATE INSTALLED: �, <br />2,ON <br />❑ OFF <br />SUB TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />—� -yam- <br />—i - <br />I <br />—I <br />I Opel <br />TOTAL <br />REMARKS: <br />// /'✓ICl /recta//eCY o _'1;7 :�!,_r=.�C�C #LC21 <br />