Laserfiche WebLink
No. 23 �i % CITY OF EVERETT SERVICE -� 1-- <br />APPLICATION FOR WATER SERVICE ORDER NNO�O./,.J// <br />FIXED DATE. �.�_lo <br />DEPOSIT S D W. O. <br />c NO. <br />SERVICE (BY ADDREBB)lazzo `�n1 S'i 3 GIJ 7 <br />-7 <br />BLK.. LOT ADD. <br />OWNlR©,fL�t]%-OL'1/.r{/�.A�l �rI7V. 144CCI <br />CONTRACTOR <br />/T <br />INSTAL p` ETERED BERVIC _ , I /7 <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE 1T-11 <br />-S -..nw LAIDIINY <br />OR A SAME MAY BE HEREAFTER CHANGED. SIGNED: X. <br />/T 1. <br />'_V WA_ <br />MATERIALS <br />III IN. <br />I I IN. <br />1 E IN. <br />II <br />PRICE <br />AMOUNT <br />PIPE COPPER •- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC _• C I <br />METER VALVE <br />METER No.J 1• I TYPE: —I <br />K <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: -r ," ) <br />ON <br />'� OFF SUB&TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL <br />HO R9 <br />Iai3!\:1:4-f1 <br />J <br />