Laserfiche WebLink
AP42/ 9/ <br /> No. Z 14-t JI APPLICATION FOR SERVICE <br /> SERV <br /> Er FIXED CITY OF EVERETT WATER DEPT. ORDER N° 2243 <br /> Cl DEPOSIT i w. D DATE—lQ Ig.�__IB'7� <br /> �-- --TT <br /> SERVICE teV AooRO[I 14-04- &0 NO O. <br /> OWNER�OripL.s <br /> �� � ADD. <br /> INSTAL,— 3 a —`"—='—may(-CONTRACtOR <br /> I HEREBY IPPLY FOR ETU EF OFBWA WATER I ACCORDANCE WITH THE _ Z <br /> ORDINANCE" A _ —�— <br /> OR AS SAME MAY BOI.ICIES OF THE WATER DEPARTMENT NOW —_--� <br /> E HEREAFTER CHANGED. EAISTINd —��— <br /> En.. _ [ION[Dt <br /> PIPE k IN. 1 IN. E IN. <br /> CORPO —10N — COPPER.- GALV.-.STEEL PRIE[ AMOUNT <br /> I-� RAN <br /> CURB c0 K T _ <br /> T <br /> SERVICE OX. <br /> rlc <br /> METER VA VE --- <br /> r-- <br /> METER NO. _ <br /> _ IRE: <br /> METER BOX C CR _ <br /> L RGE <br /> I <br /> DATE INS'MLLED: ON <br /> cooE OFF <br /> LABOR .�Np EOUIPMEN SU <br /> T RENTAL SUBTOTAL <br /> HOURS R1TC <br /> REMARKS: <br /> TOTAL <br /> �r <br />