Laserfiche WebLink
SERVICE <br />APP;� CITY OF EVERETT ORDER NO. % 1 <br />No. APPLICATION FOR WATER SERVICE <br />4/- /51-76'' 10 <br />DATE <br />FIXED V/ <br />DEPOSIT $ O <br />SERVICE (PY ADDRESS)LL-'�-i--- n - B� <br />LK._ LOTD""-�- <br />CONTRACTOR <br />OW ' ,R_ Iale.� <br />INSTALL// METERED <br />I HEREBY APPLY FOR IN ACCORDANCE WITH THE <br />09DINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: % -- <br />OR AS SANE MAY OF. HEREAFTER CHANGED. PRIDE AMOUNT <br />MATERIALS 1 ii <br />PIPE <br />CORPORATION --- <br />CURS COCK OT _ ------ <br />SERVICE BOX PLASTIC_C I <br />METER VALVE _-------- <br />METER NO. ll'' T— <br />_ <br />MITER BO% CONCRET [/�A �i (' SMALL LARGE _ <br />DATE INSTALLED: _ J^ • y- 7 I r3j7' OFf <br />_ ND EGUIPMENf RENTAL <br />cool I <br />REMARKS: <br />SUB TOTAL <br />NGURf I RATE <br />