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APPL. � O � J � APPLICATION FOR SERVICE SERVICE N° � � 7 � <br /> ryp� „ ORDER <br /> ,��;,�7� GITY OF EVERETT WATER DEPT. � � ��j <br /> .�FIXED DA'I'E �C f <br /> � DEPOSIT y ,��j,e C � � W'O. <br /> c����7 `- �-!� (rtra-'a. BLK. LOT O�. <br /> SERVICE �BYADDRE66) i � —� �_� <br /> ( �-�<� / ��F_�1.G',£.c <br /> OWNGR GONTRAC70 <br /> a��l�r� <br /> INSTAL� ���/v `MiFGi7iD SERVIC <br /> I HEREBY APPLY FOR THE USE OF WA7ER I� ACCORDANCE WITH THE / <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW ExISTING //� ��� <br /> � OR AS SAME MAY BE HEfiEAF7ER CHANGED. sicNec:X I <br /> MATERIAL9 ji IN.� 1 IN. � 2 IN. I � PRICE AMOUNT <br /> PIPE COPPER-- GALV.–STEEL �i�i ,FJ I � <br /> CORPORATION I I� 3� <br /> _ �URB COGK <T-� I I��� , <br /> SERVICE BOX PLASTIC �- C I I I� ' <br /> METER VALVE __. � <br /> METER No. TYPF: I ',4 _ <br /> METER BOX CONCRETE SMALL LARGE I <br /> _ 3'�/ '/��S_c �:•.�/��-�� � -� 7 <br /> I — ���— <br /> � <br /> I <br /> I I <br /> I i I I I <br /> � ON I <br /> DA7"E INSTALLED:I� ` / .7 � � � I �OFF , .,�`� SUG TOTAL yQ � <br /> i <br /> CODE I LABOR AND EQUIPAICNT RENTAL HO�'�FS RATE � <br /> _���� - �_� �, =��-�. <br /> I .��� :�. I� �i �� 1 = o <br /> �, I _ I�I <br /> �� �7 7 � — — ----- ---- I ' � !�i �� 7 � o�% <br /> � - - . --- -�--- �'--�- <br /> � rorn� v�'7 ,�j <br /> REIIARKS: _ _ _ _—��—]�__ <br /> n / � 1 <br /> ..�5�/. --------------- ---- -- - -- <br />,4 <br />