Laserfiche WebLink
APPL��A 9 <br />No. j <br />FIXED <br />OD <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />SERVICE N2 1826 <br />ORDER <br />DEPOSITS ! / WOO <br />SERVICE (BY ADPRESS) r�— O�G � __....BLK. LOOT fJ DD!ef �� <br />OWNER _.CONTRACTOR <br />FLAT <br />INSTALLl// A_MM D SERVICE --- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ,�/. <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING Q�y�L4� �7'— 6'�Z 9 <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED:% <br />MATER14LS <br />;p IN. <br />1 IN. I Z IN. <br />PRIG[ <br />AMOUNT <br />PIPE <br />COPPER - GALV. - STEEL <br />CORPORATION <br />CURB COCK OT <br />�I <br />SERVICE BOX <br />PLASTIC » Cl <br />METER VALVE <br />METER No. <br />TYPE: <br />---- <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: PP- <br />[+-ON <br />- 7 OFF/r' <br />7 l< y <br />SUB T'nTAL <br />COD[ <br />LABOR AND EQUIPMENT R[NTAL <br />HOURS <br />RAT! <br />_ <br />TOTAL <br />REMARKS:P/i <br />