Laserfiche WebLink
7 17V MR <br /> // SERVICE <br /> NO. 0 CITY OF EVERETT ORDER No. 3 :1.66 <br /> No. O�, <br /> APPLICATION FOR WATER SERVICE ,/ aL-" - <br /> DAT'Ef' �1Y <br /> FIXED C <br /> FJ <br /> DEPOSITS 3S o'' yy�f No– / - <br /> SERVICE (BY ADDRESS) 3/o ��c �-- BLK.- LOT_7_ <br /> OWNEr+ t� ' %-�'C� CONTRACTOR <br /> INSTAL L–METERED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> MATERIALS X IN. 1 1 IN. PRICE AMOUNT <br /> PIPE G COPPER-- GALV.-STEEL <br /> CORPORATION #leS005_ _ <br /> CURB COCK OT I - - <br /> SERVICE BOX PLASTIC • C I I -1-- <br /> METER VALVE <br /> METER No. TYPE: -- <br /> METER BOX CONCRETE SMALL LARGE _— <br /> N � so-73 <br /> �SOO lbs inn — <br /> I <br /> -- ——I — <br /> ON <br /> DATE INSTALLED. 5 go IOFF SUB TOTAL <br /> CODE LABOR AND EQUIPEN RENTAL T HOU R9 RATE <br /> fTGti (e " - <br /> - - - <br /> I - - <br /> TOTAL ^� <br /> REMARKS: _ - -�- <br /> 1 <br />