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wrP����� ,/ APPLICATION FOR SERVICE SERVIGE N� zz$6 <br /> '. ryo. �. - OR�ER <br /> , CITY OF EVERETT WATER DEPT. 7 '� <br /> �FIXED DATF����._19� <br /> � � U W.O. <br /> ��, � DEPOSIT �� No._. _ <br /> j Cl.CJf'�• .�"Z�-� <br /> � SERVIGE (BYADDHE66) '���� �. � �A� BLK. LOT �OD.— -- <br /> ' OWNER���-�t�_��-���=� _-_ CONTRACTOR- -.- <br /> i �, J -�FLAT _-'-- <br /> INSTALL_{!j_ FIF.'fERED SERVICE <br /> /-r i <br /> I I HEREBY APPLY FOR 1HE I15E O� WATER IN ACCOPDAHCE WILH THE <br /> � OROIN�NCES AND POLIQES OF TF.' WA7ER 9EPARTMENT NOW EXISTING /(/�`, •� <br /> OR AS SAME MAY BE HEP,EArTER '.��A�;GtO. sicNeo: 6'�� '� - - --- <br /> ' MnlERInLfi ii IN.� I IN. � 2 IN. � i PRICE AMOUNT <br /> 3` <br /> i PIPE: _ COPP q L GALV.- STEEL _ _ _ <br /> I G�JRI'ORATION _I I <br /> .�..s —}-_ � — <br /> . CUR3 COCK O� I I _ <br /> SER\'ICE BOX PLASTIC •- C I��_�� _I _ <br /> � <br /> � M[TER VALVE <br /> ' MI.TER No. TYPE: I 'S -- ---__ __ . <br /> �,- . _ -._____ _ <br /> � 19ETEP. BOX CONCRETE SMALL LARGE <br /> �f--',�X ��d'a•-f�:/ ,f'f_=�16��cG .f�L�V_��1.-' _'. - I ---- <br /> �— — --� —'� — — <br /> �— I 1_�_� _ _ -- , <br /> � <br /> j I I - I i � -- - <br /> �,- ��. <br /> � DATE INSTALLED: �J' /0_ '7 /, I � OFF SUB TOTAL <br /> O ' ! Y <br /> I C�I LADOR ANO EQUIPMENT R[NUL li HOURS RATF <br /> I <br /> �-—�� -- -__ — ��°"�:% — —��- -- <br /> � � /,� �_ ��— -- — — <br /> i ------U��� - � "'�`"�-- _� C — <br /> ��Z.U- <br /> - --- - <br /> � ! - --- _ ��-- --��-1�--_ -��-- <br /> i_� -- ---- - --- ----�- - -- I- <br /> I TOTAL � <br /> I REMARKS: � <br /> � -- -.�(�-�-�-- - <br />