Laserfiche WebLink
APPL. yi l/a CITY OF EVERETT J <br />./ SERVICE [' <br />. ORDER NO. _ <br />00 <br />No <br />APPLICATION FOR WATER SERVICE <br />y� DATE July 11 -tB 86 <br />FIXED <br />fy( DEPOSITS /N 1 "' / Q �A� 1�L IWjp�.0. �+(� v <br />`SERVICE (RY ADDDDRRp2)--6—QE1V— =23,r A--�U -PE SLK._ LOT_.!Q—AD�n T�i � <br />_ i I . <br />I HEREBY APPLY 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. SIGNED;X <br />MATERIALS <br />Y IN. <br />Li IN. S IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER •• GALV. •- STEEL <br />CORPORATION <br />CURB COCK <br />OT <br />_I <br />_ <br />SERVICE 110X PLASTIC -• C 1 <br />METER VALVE <br />METER No. TYPE: I '4 <br />METER BOX CONCRETE SMALL LARGE <br />IrON <br />DATE INSTALLED. `O�� I 0 OFF <br />COOS ! LABOR AND EQUIPMENT RENTAL <br />SUB TOTAL <br />HOURS RATE <br />I <br />TOTAL <br />REMARKS: <br />