Laserfiche WebLink
APPL. 13 No. <br />/ q Ja 3 <br />01 FIXED o� <br />❑ DEPOSIT S-A <br />APPLICATION FOE SERVICE <br />CITY OF EVERET' V/AT FR DEPT. <br />SERVICE N_ 4 5 9`` <br />ORDER <br />DATE_ Z `I M/!/r- 1G <br />71 <br />SERVICE (BY ADDRESS) Y 5 J 1 —BLK.— —LOT ADD <br />OWNER L G . K o ✓ JI AI CONTRACTOR_— <br />FLAT <br />INSTALL_JAZURED SEfiYI''E' <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND PJLIf IES OF THE WATER DEPARTMENT NOW EXISTING r) <br />OR AS SAME MAY of HEREAFTER CHANGED. CONED: - —�,0 1 <br />MATERIALD <br />W IN. <br />1 IN. <br />E IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />�PPt7)L'A• GALV. -- STEEL <br />_ <br />. (O <br />✓ <br />CORPORATION <br />CURB L OCK.- OT .-- <br />A <br />_ <br />1 <br />3 <br />"^:RVICE BOX <br />LASTICI- CI <br />METER VALVE <br />METER No. <br />M <br />TYPE: I 9S <br />METER BOX CONCRETE SMALL LARGE <br />_ <br />f_ <br />I <br />DATE INSTALLED: S.. <br />y— � k <br />° ON <br />SUB TOTAL <br />5o <br />z <br />CODE <br />LABOR AND EOUIPM ENT RENTAL <br />s <br />HOURS <br />PATE <br />I <br />I <br />I <br />o) <br />TOTAL <br />REMARKS: <br />