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APPL. <br /> rvo. � DI�� APPLICATION FOR SFRVICE SERVICE Na 8 � 3 <br /> -�'i-�=� GTY OF EVERETT WATER DEPT. ORDE� <br /> �( Fixe� <br /> �J oerosir s /,,.?�rn <br /> �nreJ-?��£����/ ��� <br /> ------- 1 Noo. <br /> / <br /> SERVICE �eY�onp¢ea� u '�.��i�,'.� ,- �i� � -- <br /> �-_ —_BLK.. LOT ��� c � ` <br /> OWNER_ A[jD��-� L�.l./n ���_� <br /> •j�.F�.N----- ---CONTRACTOR`_�'L�'2?��t I � <br /> INSTAL �,�---�—�-�'�� <br /> METEREC SERVICE_.______ _ __ _ � <br /> 1 HEREBY APP�Y FOR iHE USE OF WATER IN ACCORDANCE iH — <br /> ONDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW EXISTING `- JJ <br /> OR AS SAME MAY BE HEREAFTEN CHANGED. / /. '� <br /> 91:NEO:X_r_ � (ir���� _ i f �.' <br /> ���. MATEqIAL6 � �:_- �-___ <br /> PIPE I � IN.I t IN. � 2 IN. PPICE AMOJ! <br /> -_ COPPE9_. GALV..- STEEL _ F`I�I -- � <br /> CORPORATION ---- 1L ^�.��� � �� <br /> / � <br /> CURB COCK Oi ^ �I��I� <br /> SERVICE BOX - I <br /> PLASTIC •• C I —�--I <br /> METER VAWE -- __ �I�_ <br /> --�-____._ .__._..-_.--_—______-- _._.__ ..�-_ <br /> METER No�� � --- /1 /.= <br /> �---r,� ��',. o �ny�TYPE_�f.. .��___I �� _._ __ _ ._-'— _�,� 5•i _ <br /> METER BOX ������ - -- -- -- <br /> CONCRETE MhL�, LARGE -' - <br /> -_�- - �.. -- -�--�-- - --- -- 13.==_ <br /> - -_.J�i <br /> --- -_ -�-!- -- - i_�- <br /> ---�— - --- _�� � — <br /> _ — - --- I- —�--- --,-- <br /> DATE INSTALLED: _ l I ❑ ON <br /> ��OFF / SUR TJ7AL <br /> cooe� � �//J�, <br /> LABOR ANO lpU1PMENf NENTAL <br /> I � HOUR9 RATE <br /> I � �-�-------- <br /> -- — [ � <br /> _------- _ _ -- --I-- �-- -- `---- <br /> --��_�-u�L� -- - �---- -- � <br /> --- � � -- -I _ _ <br /> --� ----- --- _ I -� __��'--i� <br /> -- ' <br /> -'---._ -- - _ <br /> - --- ---- , - -- <br /> ; ----- - <br /> -- _ � <br /> -- y�-- -- - -- - - - ;__ _ -- ' <br /> - _ - <br /> - ' I / <br /> i � i . <br /> . . _ _. . .. .. _ . . - . . .__. -. . _. _'�_- I <br /> n� I <br /> I <br /> REMARKS: _ TOTAL ��I��� <br /> � - _- _. ___._._. . _ <br /> _ • _ . _'_"___ <br /> . � � _..-- _ -_ .. . <br /> , __ <br /> _ L__ . . . _ . . ..__ __. r____-____ <br /> _ '_ - - � <br />