Laserfiche WebLink
i <br />i <br />NCPL.Aw4r <br />APPLICATION FOR SERVICE SERVICE ND 2024 <br />I CITY OF EVERETT WATER DC'T, ORDER <br />FIXED <br />DEPOSIT S'/D' <br />I SERVICE IS�Y ADDREBq / 0/ 9-6 �Z ��'• J BLK-LOT /s <br />OWNER T�s 4 AFL.. CONTRACTOR _ <br />INSTAL � _NIEFLATTCOCA aeovl« <br />I HEREBY APPL FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES <br />DEPARTMENT NOW EXISTING <br />OR AS MEHEEAFTER CHANGED. EIoNEDI X./� V�/U�� u'• ��L`�L-/����7 <br />MATERIALS <br />Ip IN. <br />1 IN. <br />E IN. <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER - GALV. -- STEEL <br />CORPORATION <br />I C R COCK DT <br />SERVICE ROX <br />PLASTIC -• C 1 <br />METER VALVE <br />` METER No. <br />METER BOX <br />TYPE: I q( <br />CONCRETE SMALL LARGE <br />I <br />I <br />I <br />I <br />— <br />ON <br />DATE INSTALLED: . OFF��� //., <br />I <br />l� L� /SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />I <br />TOTAL <br />REMARKS: <br />