Laserfiche WebLink
APPL <br />No. oZ�G L/ 7S CITY OF EVERETT IERVICE <br />APPLICATION FOR WATER SERVICE ORDER N�°��/ 5240 <br />FIXED D TE__ Zd/_2I � <br />®' DEPOSIT S _�jI 0C W.O, _ _7 <br />SERVICE (BY ADDRE86)_.2(3�+,Z 91 BLK.. LOT SID <br />OW VER____V(i- k • ; r Gr, CONTRACTOR 9 <br />3 I FLAT — <br />INSTALL - . ETEq ED SERVICE__.— <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING •J /' �- / OR AS SAME MAY BE HEREAFTER CHANGED. ncNED: X <br />PIPE COPPER -• GALV. -- STEEL <br />ti IN. <br />I IN. R IN. <br />PRICE <br />AMOUNT <br />CORPORATION <br />—I}— <br />C,iAB COCK OT <br />_ SERVICE BOX OLASTIC •• C I <br />METER VALVE <br />_METER No. rJ 6 Z. P OSIC TYPE: 1�7 (A CJR,q �I •{ <br />METER BOX CONCRETE SMALL LARGE <br />-- <br />_ <br />- <br />I <br />DATE INSTA LLI: U; b <br />ON <br />I a OFF <br />BUS TOTAL <br />COOK LABOR AND ROUIPMENf RENTAL <br />HOUR! <br />RATE <br />- ---------- <br />l • f3 fLen I f__ <br />"rric I 3A I <br />TOTAL <br />REMARKS. <br />