Laserfiche WebLink
qo <br />NO. !�AP /03 <br />El FIXED 0-0 <br />DEPOSIT <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEP, <br />SERVICE ND 2457 <br />ORDER <br />DATE-p <br />W. O. <br />SERVICE (BY ADDRESS) YZ �r PA 1±Z S !'- _BLK LOT_Z—ADD.f-1-f? 0/— <br />I <br />OWNER nA-Li ate— 1-!;1N_- Ja <br />3 FLAT <br />INSTAL .METERED SERVICE <br />I HEREBY AP LY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. BIGNED:X <br />MAT[RIALE <br />% IN. <br />1 IN. 1 E IN. <br />1 <br />IIF <br />PRICE <br />AM NT <br />PIPE <br />COPPER - OALV. - <br />STElI <br />--�11F--IjIF--- <br />CORPORATION <br />CURB COCK <br />OT <br />I <br />SERVICE BOX <br />PLASTIC -- C I <br />METER VALVE <br />I METER NO. �- TYPE: I H <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />�' Z`` 77 <br />rSv ON <br />9❑� OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />