Laserfiche WebLink
7 4e_a <br /> J. c" CITY OF EVERETT ORDfiRE <br /> SER <br /> APPL No. 3507 <br /> No. APPLICATION FOR WATER SERVICE <br /> DATECfL�_.��_•10L. <br /> FIXED / <br /> DEPOSITS �� f j' No O. <br /> C] DEPOSITS <br /> to flfl �O3 �7/9u'i / 4 - BLK._ LOT �� ADD <br /> OWNE 3 fSrf� CONTRACTOR — <br /> " <br /> INSTAL TERED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING BIQNEo:X <br /> OR AS SAME MAY BE HEREAFTER CHANGED � <br /> MATERIALS 'AIN. 1 IN. f IN. � PRICE <br /> —�-1 AMOUNT <br /> PIPE COPPER••GALV.-STEEL <br /> CORPORATION <br /> CURB COCK OT - <br /> SERVICE BOX PLASTIC -- C I <br /> METER VALVE <br /> METER No. TYPE: _ H <br /> METER BOX CONCRETE SMALL LARGE <br /> I - <br /> �1 ON <br /> DATE INSTALLFO: I w ED OFF SUB TOTAL <br /> 9-r u -fir! <br /> CODE LABOR AND EQUIPMENT RENTAL HOURS RATE <br /> I <br /> —' TOTAL <br /> REMARKS: ____ <br />