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qppL / O� � I�6 APPCICATiJN FOR SERVICE SERVI �° 2 6 5 <br /> No. .� d� �f ORDE <br /> ��,� CITY OF EVERETT WATER DEPT. E_����� <br /> FIXED <br /> /�� �O W.O. <br /> � DEPCSITS /�+D• � No. <br /> SERVICE 10 no aFssl � �� �L�LOT 3DD. =-�C�� <br /> i //J�/ <br /> OWNER_�� ���'�� COIYTRACTQR � <br /> 9 s�rr' �L�"3 � c alce G <br /> INSTAL�METEREO SERVICE_------ �^ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � �f�\ <br /> OIiDINANCES AND POLICIES OF THE WATER DEPAR7MENT NOW E%ISTING 61GflED:X � "��=�'"L�=`"� <br /> OR AS SAME MAY BE HEREAFiER CHANGED. - <br /> MATERIAl6 I�/i1N. tIN. I21N. I � PRICE AMOUNT <br /> p�pE -COPPER•'-GALV.-STEEL � �yI� <br /> CORPORATION --+ ` ��� <br /> CURB COCK OT I - <br /> SERVICE BOX PLAS7IC - C 1 I _ I — <br /> METER VALVE —— p�n � <br /> METER No._, ;'.�7'/�l�ic,7• r.p TYPE:/:. �. . I `* I _ —dS/I�/� <br /> METER BOX � CONCR�TE �SMALL � LARGE _ � ( <br /> -- - ��' / � i� <br /> �I - �- <br /> � <br /> � <br /> � <br /> �f''fq � ON �UB TOTAL ID� O I <br /> DATE INSTALLEO: CJ"��'�/ -��G � � OFF <br /> CODE I L�BOR AND EO�IPMENT HENTI,L NOl�RS RAT[ <br /> � � ;; o c� <br /> � � I <br /> � ., �__ ; zo �� G i � <br /> , � q I <br /> '� I -��-�- <br /> � � �'-�-- <br /> I - - - � �� <br /> I TOTAL , II�7 �7�I <br /> RE!AARKS: 1, <br /> , . . � j. <br /> TC�.�_✓�_`�-------- ------------- - ----- <br />