Laserfiche WebLink
cl 1 <br />!li <br />APPL. Z%� D•J CITY OF EVERETT <br />No. D J APPLICATION FOR WATER SERVICE <br />FIXED <br />DEPOSIT SS /Ao� <br />715 <br />SERVICE INY AAO/,D�R/�UeI�—/OLT—/�� -BLK. <br />R OWNE'• !11AC-T I^lam—� ���& CONTRACTOR_ <br />L j INSTAL/ METERED ERVICE—�/D(b - <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND PeOLICIES OF THE WATER DEPARTMENT NnW EXISTING <br />O: % <br />A r're .•MARcen SIGNE <br />SERVICE <br />ORDER 1'I2 C O C755 <br />DATE p�/ �.. _1o.G-IF <br />W. O. <br />No. ---- <br />LOT ADD. _-- <br />e <br />MATERIALS <br />M IN. <br />1 IN. I 1 IN. <br />��• <br />PRICE <br />AMOUNT <br />PIPE COPPER •• GALV. _- STEEL_- <br />CORPORATION <br />- <br />_ <br />CURB COCK OT— <br />SERVICE BOX <br />--- --- <br />-PLASTIC- <br />METER VALVE <br />METER NO. �_ - TYPE _.___- <br />METER BOX CONCRETE SMALL LARGE <br />--- <br />- - <br />— <br />--- <br />DATE INSTALLED: �•- .• } <br />ON <br />I OFF <br />SUR TOTAL <br />— <br />OOOE I LAUOR AND EOUIPMENIAND RENTALHOURS <br />RATE <br />TOTAL <br />REMARKS. <br />