Laserfiche WebLink
APPL. 050 4 <br />No. <br />(FIXED <br />DEPOSITS �•� J I• — <br />SERVICE (BY ADDRr8E1 <br />OWNER _— <br />/ FLAT <br />INSTALL FLAT <br />SERVIC4 <br />I HEREBY APPLY FOR THE USE OF WATER <br />ORDINANCES AND POLICIES OF THE WATER <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT wATF.R DEPT. <br />IN ACCOPDANCE WITH THE <br />DEPARTMENT NOW EXISFINO <br />[IGN[D: X <br />S: RVIC�IY2 1 18 9 <br />ORDER <br />6E,, <br />MAfERIAL[ <br />4i IN.I <br />i IN. <br />1 2IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE I COPPER • GALV. -. STEEL <br />CORPORATION <br />R9 COC O <br />SERVICE BOX PLASTIC -• C I <br />, 7O <br />�IQ� <br />I <br />D <br />METER VALVE <br />METER NO. TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />it <br />DATE INSTALLED: _ a <br />,_,/ ON <br />U OFF SUB TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL <br />HOUR[ <br />RATE <br />TOTAL <br />_ <br />REMARKS: 17, n 5 <br />