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� <br /> � � <br /> I <br /> APPL. �S7S `J' <br /> No. CITY Or EVERETT SER\9ce <br /> � • APPLICATION FOfi WATER SERVICe ORDER NO. 4� I Q <br /> � FIXED " � DAT�• b ___�� <br /> � DEP0317 s ,fQO � W. O. <br /> —�J.�����.�:,4�>L�,� No.--------� <br /> � <br /> SERVICE 1BY ADOPEea)�� �y �J <br /> ,,/ �� y`y�/�/n� "- _BLK._L LUT_�.�.e��r.�cf>.J' <br /> OWNER__�y---/is/���W _ __CONTRACTOR-____ <br /> /� __— <br /> INSTAL METERED'§EI2V1 E_____. _ .. <br /> I HEREBY APPLY FOR 7HE USE OF K'ATER IN ACCURDANCE WI7H THE <br /> ORUINANCES AND POLICIES OF THE WATER DEPARiMEN7 NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTEfl f.HANGED. ,: <br /> BIGNCD: X � <br /> MGTERIALS �/ IN.' t IN. I21H. I "'-��-�"�---- -��'-�' <br /> � PPICE AMOUNi <br /> �PE � [[, COPpER-- GALV.••STEEL '7 Z� <br /> L <br /> CORPORA71pN �(SOO _ _ _ � —I — <br /> CURB COCK pT_-__ '-- -- I <br /> SERVICE BGX PLASTIC -- C I I <br /> � V� - -..—.- ___.- <br /> METGR VALVE � __ _ a� _ t/I/�l_�. .._.. <br /> -1 � T`t-[ <br /> _ /Z� �Q�!(TYPE: . � __-_ —_ .— <br /> METER No. --- <br /> — �' �- ——-—L --- -- <br /> METER 80X GONCRET SMALL LARGE <br /> ---_f�l 50`7 -- _ - --- --� — --- <br /> L 3/•- c�! ------- -- -- --—�—I--- �-- — <br /> ��.e. '' �o=s;3- - -L-� --�— — <br /> � Ie w�!r�5�- -- / i <br /> �cx��s c�_!d_�ys-yc-�r�_s-�.�— �� — -- <br /> --�--�---I---�—�— — -- <br /> DATE INSTALLED: /� �/,� U � I '�� OFF SUB TOTAL <br /> U <br /> <OpE I LABOq �ryO EOUIPMlNf HENTAL <br /> i HOURS RATE <br /> .-�I �t J I <br /> , --------- ,���I�� - — <br /> � — - — — _ <br /> � ------- -- - - s���� — - - �u- � -- ,,- ---- <br /> , --�-----= _-�3�si-�'' -- <br /> i ----_ --- __---�-- -- <br /> — i <br /> TOTAL � <br /> REMAFHS: <br /> ` � <br />