Laserfiche WebLink
NOYL ���O � CITV OF EVERETT ORDER E. Q, i� l' � i <br />APPLICATIOL FOR WATEH SERVICE � <br />� FI%EO Op DA _–_ _ 3 / —iF� <br />� / <br />� OEPOSIT: 6 W.O. <br />– I / �J No._ <br />BERVICE (�YADDeG _ ��v �I ^" �L-Pi �'��•BLK.____._LOT�L�__A�p,_ <br />//1�, � (�T//�(�j• / –__ <br />OWNEtt__LSL2L! _i[1�/2tiv�0_.�'�moo-�_CONTRACTOR__._______,_____ <br />ii – <br />INRTALL�fL_METEHED 9ERVICE_ _ _ . _.._ .____ _ <br />I NEREBY APPLY FOR THE USE OF WA7ER IN ACCOROAN'E WITH TNE � � <br />ORDIHANCES AND POIICIES OF 7HE WATER OEPARTMENT N�W E%ISTING � <br />OR AS SAME MAY BE NEREAF7ER CHANGED. unH[ . � h�1'_' �___ __ _____ <br />M�TERI�L/ I �4 IN. 1 IN, I� �' IN.'Ij� I � I PpICE AMOUNT <br />P�PE COPPER •• GALV. -- STEEL I �'I I I I I�� T <br />CORPORATION <br />CUHB COCK <br />SERVICE BO% <br />METER VALVE <br />METER No. <br />METEq BOX <br />OT _ <br />__ PLA9TIC ._C 1_.._ __ _ <br />_—__ . __ _ _ . TYPF: I •' I <br />CONCqETE _ _ __SMALL LARGE I <br />OATE INSTALLED: <br />Coo[ I <br />REMAqKS: <br />I �_� UN <br />� OFF <br />LABOP �NO EpUIPMEH! RENT�L <br />___I <br />F <br />- __'_______ <br />SUB TOTAL <br />HOURl� pAtE <br />_ -_ I <br />_ _-_-__ <br />.. . ._. . _ ._.-..-._.___-___-_ - _ _ ..- <br />__._ -_ " <br />-----( %� 7 d' �-_ ___ i- _- ---._ -- <br />-- - --- -- �— ---- <br />_ -- - ---- �- - ----- <br />TUTAL <br />