Laserfiche WebLink
APPL./-S C1O CITY OF EVERETT seavlce <br />No. l/ (J ORDER O343 <br />APPLICATION FOR WATER SERVICE DATE 3A1DB-� <br />d FIXED <br />DEPOSIT f�0 No._ //''-- LL - -- <br />SERVICE (BY AD/D�RRESS)—. 17A-P _ 70 Pl ` F--BLK.. LOT. IDD. iAj-A- f-t— <br />OWNER 1-1 Liam ---W 3MfJ CONTRACTOR�Q/N P JJ <br />LAT <br />INSTAIL��J RED SERVICE- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EEISTING <br />OF! AS SAME MAY RE HFREAFTER CHANGED. <br />PIPE <br />CORPORATION <br />CURB COCK <br />MATERIALS <br />COPPER -- GALV. - STEEL <br />OT <br />YI IN. <br />1 IN. A IN. III <br />PRICK <br />AMOUNT <br />SERVICE BOX <br />PLASTIC -- C I <br />METER VALVE <br />METER No. <br />METER BOX <br />- TYPE_ I H_— <br />CONCRETE SMALL LARGE <br />— <br />--- w ON <br />DATE INSTALLED: �7/ 7 I IV�C OFF <br />CODE r LABOR AND EDUIPMENI RENTAL <br />SUB TOTAL <br />I NOUR9 RATE <br />TOTAL <br />REMARKS. <br />