Laserfiche WebLink
APPL, l�� �� CITY OF EVERETT ORDEA E N� � � E S <br />No. C7�4 qppLICATION FOR WATER SERVICE <br />�DATE-_� � ��__10� <br />FI�`:O <br />r , � OEPOO�T 3.1 � D`�' W. O. _ <br />. No.— _ <br />BERVICE 1�� ADo11u�)-__�._. —7�/ �ry ,L�� �L�L� _..-_BLK..__LOT__.�1l2 ADD.-�J1�Il�/� / (Y4�_ <br />OWNE �S. -__--.--GONTRACTOR_.._ -__.--.— _ <br />�3 F �/- --f <br />INSTAL7 _ /� SGRVICE_.- /�('.GIJ�ST�-.� �_L���-`S' <br />I NEP.iB1' APPLY FOR -HE�15E OF W�TER IN ACCORD�NCE WITH THE / - �/ <br />OpDIN�NCES AND POLICIES OF TNE WATEF UEP�RTMENI NOW EXISTING �"� �t�,� �.I ��� 1� �. — <br />OR AS SAMC M�Y BE NEREAfTER CHANGED •IONED:X . . . .� _ <br />— -- IN. � PNICE AMOUNT <br />PIPE M COPPER •• GALV. •• STEEL t„ ' IH �—�; I <br />._— .'___ . ___-_ __.___ <br />CORPGRAT�ON f I <br />'_"—_. _.—__-__. ' _ _'_-- —_'-- _—' _ __- <br />CURB COGK OT I I <br />SERVICE BOR PLA9TIC -• C 1 I I <br />_-_ I— . _. ._"_ _ '— <br />METER VALVE <br />----_ _ . _ _ _ . . __ _ . . . . __.___ _ _ —_ -- I <br />__ _ _— <br />METER No. TYPE: I . _ _ _ _ __ � , <br />METER BOX �CONCRETE SMALL LAqGE � <br />__ . . _ '___ _.. ' <br />I _-_- _—I I <br />i i <br />__- _______ ._ . . . I_ _—__' .- _. _ _'_"" _ <br />—_--__ I _'_ I _ __- -___ -. _ <br />_ _I _ <br />--- --- �--�------- - --_..- .� -I.. --- ------�-�- ��----- <br />� <br />- ---- --� �-- ---- . _ - . _-- -....- ----- -�— � ---- -- -- <br />I I <br />ON <br />DATE INSTALLED: � /,��/ I �OFF SUB TOTAL <br />CCO[ I LABUR ANDEOUIPMEHlRENT�L HOUP! RA1E <br />� <br />�I'�q�-�� - - - - - -- -- � <br />_ _.. -- -- <br />---- -- - -- --- ------ <br />� ! � �, . � � I <br />------------.. -- --------- ---- <br />� Wi�� hn �r4Pn �9 ^* :��rr. I �_. ._ _.. __ <br />___ __.__ . _ ._ ..,'_'..' '__'____—"'_._'__'._____ . . ____ __ <br />� , I I <br />� U<.,LI...... _....___'""' "' <br />—__—____. '__.......... _. _—_ <br />—� ____ _—'____'_—'___ - _. -_ _.__— .-_'_ I <br />I �—._'_— _ _ .. ___ . <br />TOTAL I <br />REMARKS:__5��.[�FJ � � Y/J,�G . . . .. _ <br />— .— _____.. ..__ _—_"'_._ . _—'_ � <br />n .-� cn m- i:. yr � _ - . ' -:?. � . ...' �r .. � � <br />