Laserfiche WebLink
No. [J <br />�FfkED <br />O <br />DEPOSIT <br />SERVICE ISYAAbDDDRgqE_i'Ef��—.—[-=-L <br />OWNER./ l4:GCLL—��� <br />-APPLICATION FOR SERVICE SERVICE N2 1452 <br />ORDER <br />CITY OF EVERETT WATER DEPT. a _ 2(0 <br />yyDyyATE _1011_ <br />NOO. <br />` 21 ___ _BLK. LOTJ / ADD <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X_ <br />MATERIALS <br />ii IN. <br />1 IN. A IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />CORPORATION <br />COPPER - GALV. - STEEL <br />I <br />Ij1 <br />CURB COCK OT <br />L <br />SERVICE BOX <br />PLASTIC — C 1 <br />METER VALVE <br />METER No. <br />TYPE: I <br />H <br />_ <br />METER BOX CONCRETE SMALL LARGE <br />DATEINSTALLED: <br />ON <br />OFF <br />BUS TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />I <br />I <br />I <br />---- <br />TOTAL <br />j�I <br />II� <br />REI.IARKS: _ 1_'f L P <br />