Laserfiche WebLink
r <br /> 1 <br /> r <br /> -1 <br /> r <br /> r l <br /> APPL. ��j X/C CITY OF EVERETT SERVICE 11 <br /> No. ORDER NO. �11.Er <br /> APPLICATION FOR WATER SERVICE 3 <br /> Ei FIXED DATE -1� <br /> W.O. <br /> ❑ DEPOSIT S (�/� O No.---- <br /> SERVICE <br /> o.--- <br /> SERVICE�DD��O BLK.__LOTI�17 A� <br /> OWNS CONTRACTOR — <br /> ,/ FL <br /> INSTALL— ream ewmc -_. - -- -- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE L7' \ t o„l, <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X 111aaa��� - <br /> MATERIALE WIN. 1 IN.i E IN. PRICE AMOUNT <br /> PIPE t' F COPPER-GALV.-STEEL .3E <br /> CORPORATION oy l soQ <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC •- C I _ <br /> METER VALVE �K VC_�I1i. _ <br /> METER No. '7 Lll .f r' 'f,c TYPE Ba%Qr -- <br /> METER BOX CONCRETE IAS TC SMALL LARGE I _ <br /> t0 wire SD_4 _l <br /> .X 12, <br /> t567- <br /> S Yds, TOP Co-at–se. <br /> 00 s INA f S Foci I <br /> ON <br /> DATE INSTALLED: ^J �Lq —8 3 OFF SUB TOTAL <br /> CODE I J LABOR AND EOUIPMENf RENTAL QQ <br /> / HOURS RATE <br /> SJ <br /> LIC Vd W\ - <br /> -- <br /> J' <br /> 3o AL;t Ps – 1zO - <br /> — --- -- <br /> TOTAL <br /> REMARKS. <br /> J <br />