Laserfiche WebLink
■ <br />CITY OF EVERETT SERVICE <br />rr�1 <br />APPLICATION FOR WATER SERVICE ORDER NO. ^ 328 <br />B <br />FIXED DAT� _ 3/ „e-�? <br />O DEPOSIT S / V W.O. <br />Nxo. <br />SERVICE UyAOORnq Q0 y_0 BLK.-1 LL0�✓ <br />OWNER ^ CONTRACTOR <br />INSTAI.L_� METERED SERVIC _ <br />I HEREBY APPLY FOR THE N ACCORDANCE WITH THE <br />_ORDINANCES AND POLICIES OF THE WATER DEPAR;IAENi NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED:X <br />PIPE I ( e . <br />MATERIAL! <br />. �� 1 • COPPER— GALV. —STEEL <br />1{ IN. <br />1 IN. aim. <br />PRICE <br />AMOUNT <br />CORPORATION <br />' <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. _ <br />MVTER BOX <br />_ <br />OT <br />PLASTIC -- C I <br />—, . -_ _ TYPE; _ __ �•.t�' I H <br />CONCRETE SMALL LARGE <br />.J <br />I <br />- <br />r <br />_._ -_— <br />' <br />_— <br />I <br />_ <br />__ <br />— <br />DATE INSTALLED. <br />r ON <br />f� OFF <br />SUB TOTAL <br />CODE_ <br />LABOR AND EOUIPMEN(RENTAL <br />I HOURS <br />RATE <br />r <br />TOTAL <br />i <br />