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NOFL� O�/ 8 � APFLICATION FOR SERVICE SERVICE y° � / Z 3 <br /> ORDER <br /> �, � r' -: CITY l9F EVERETT WATER DEPT. � � <br /> � FIXED DATE'}r.�_!S_1 "—_-19-1_ <br /> v <br /> � DEPO517 3 W. O. <br /> __ ___...__- No._.—_—_—_'__ '_' <br /> 9ERVICE (BY�DDNEYeI---.aX�.�. _.�.Q�/� r-L . .-�C. .___ __ _. _ _. BLI(.'—'._'__LOT "?j _'AOD. _____'__ <br /> � ' —. <br /> OWNER______'__' _'_ ___ . ____—_.__ . '__ _ . _ _ CONTRAC'iOR_lY�-tS. ._.L•_Ir='�.l_��_ _' <br /> � FLAT <br /> INSTALL�_.Muil1E0-GERVICE__—__ _ _ _. _.—_._. ___ _ .. _____ _-- _._______ <br /> . � __ __7___ <br /> 1 HEREBY APPLY FOP THE USE OF WATEN IN ACCOPDANCE WITH THE �/�7 ����`� <br /> OflDINANCES ANO POLIQES OF THE WA7ER DEPAflTMENi NOW EXISTING _x �L , ` — <br /> OP AS SAME MAY BE HEPEAFTER CHANGEU. eia� ro. X�_� ��� <br /> M�TERIALO �,i IN. 1 IN. i, t IN. I PpICE ( AMOUNT <br /> ` <br /> PIPE __ COPPER--GALV.•• STEEL I I <br /> CORPORATION __ —� 7 I' I <br /> CURB COCK OT �_..____—_._____—____.____ _I I. ___ <br /> _—"_' _ _ �_ _ I <br /> —_ — — i 1 <br /> 9ERVICE BO% _ _PLASTIC __C I __ _I _I_L _ J_�__ <br /> METER VALVE <br /> —._ -- __ _. _ . _. _—__ ___. _____ _—_ _ _.— _ .. __ . _ __'.____ <br /> METER No. TYPE. ! <br /> -_ _. . __ _— _._ . ! _�_ _ _ __ ____ . ._._ _'_ ___ <br /> METER 80% CONCRE7E SMALL LARGE <br /> ._ —_________—_ '_ _ _ --_ I� — �'_— <br /> i <br /> � - -----_ - _ I I I - ----- I--I- <br /> -- -;- ---�--!-- � �- <br /> - - - - --- -- ------�--- -�- - � <br /> - --- ---- -- ---�- �- -----i- -- --�--- <br /> ❑ �N � <br /> DA7E INSTALLEO: � ppp SUB TO7AL <br /> COO[ � LA00p ANO EQUIPMEryT RENT�L I HOURB IIATC <br /> ___I___-_-.__-_.__ .___. .. .__. ._ __ .__. . . ___-_ _. __" __ . ' __".-_- ___.I_ . _ . ' __._-�___--_ <br /> � � <br /> -- _ _-__-___--_.-_-__-___-___- _ .___-_ ______-.. - ..' <br /> . _______ I I I <br /> I i <br /> . ._ . __ _ __ .___�_____._ <br /> I .. .. _ . _. _ . . .. �I .�. <br /> � � <br /> ___. _ _ __ .._. _ .. . . _ . _ . _._ ._ . . . .__. . . .__. . _. ___ . __ <br /> � I I I TOTAL � � <br /> __,—..._— _ .� <br /> F2EMARKS: ' <br /> __ .._ ..___ . _ .'_. . . _ _ __ . . . _. . ._. . _.. __ ' . ___ __ ___ _.__ _. <br /> � � ' � � - <br />