Laserfiche WebLink
140" <br />t1 <br />APPL. 7/_ / i SERVICE <br />No. G.(O 1D / CITY OF EVERETT GRDEr7 <br />APPLICATION FOR WATER SERVICE U/ DATH ITS--55_442 <br />FIXED <br />DEPOSITS 4o�pD W.O. <br />/�F� �CSTING._�sr��q -_-- <br />SERVICE Iw ADD.IUEl--1---5 -+A• f-11 `•�-�- •-IILK..—.I—LOT--ADD. <br />INSTALL_V!—�ML'Ti<REO SERVICE- <br />-I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCEi AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING Rlcwan:X <br />MATERIAL[ <br />-------------- <br />IN. <br />1 IN. I E IN. �I <br />PRICE <br />AMOUNT <br />PIPE Q 0 _ Cv. <br />BEL <br />/R <br />-CO4wORAii9N•�— <br />euRs Sasaf aT— <br />SERVICE BOX PLASTIC -• C I <br />I <br />— <br />METER VALVE <br />METER No. TYPE: <br />__ <br />l_ N <br />--- <br />-- <br />-- <br />METER BOX CONCRETE SMALL LARGE <br />moo <br />03 <br />DATE INSTALLED: OL -/C� <br />ON <br />OFF . Je� SUB TOTAL <br />CODE LASOR AND [DUIPMENf RENTAL <br />NOUR[ <br />RATE <br />I <br />�- <br />TOTAL <br />REMARKS: <br />