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APPL. �Z �/ / /�. S APPLICATION FOR SfRVICE SERVICE N° 10 9 3 <br /> ORDER <br /> N�_ .,�J.� CITY OF EVERETT WATER DEPT. � � <br /> �/ �FIXED DATE� __-_�.;�._-"�_/tBl_� <br /> VCI / Q� i <br /> / W. O. <br /> � DEPOSIT S Cc'! .._ No._--�_�-'_-'_ <br /> __-_--_- � , _ i <br /> !., , <br /> G. <br /> � �`� � /� +�� � �. / . �'/� . � i .e A• .. <br /> SERVICEIeYADOPE�/eI7''-�� .-t-. ---- -�-----�LK . '___LO7� y__Apb--• -- <br /> /, } ! / , _,:-7- -...�� / � � r . . i � / <br /> C � L • _____'� �'____ ---'__CONTRACTOR� �J . F l e.�. � ..,d,-f_ <br /> �OWNER_�_-' -____ . ._-_ —_ . _ _ <br /> i ,�,�,•.. / h�� � FLAT <br /> INS7ALL—� MIIEk�6 SERVICE- __--_-_.___-_._ -______ _-_ _ .._-- --._.__ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCONDANCE WITN THE � � <br /> OflDINANCES ANU PGLICIES OF THE WATEN DEPARTMENT NOW E%ISTING I �� ` J '� ��� �-� <br /> �� S i . , , � ' %.�. ,,., <br /> OR AS SAME MAY PE HENE�FTER CHANGED. 6IGN[o: Xt_. . �� - <br /> i �7��:- __�=�7---"_�_ <br /> MATERIALB y IN. 1 IN. i 2 N� � ' � _ PRIf�L� AMO INT <br /> PIPE COPPER.. GALV. --STEEL .-.-I---- ---I—I— ---I I <br /> CORPORATION -__---"-_ �� �-'- --'- -� -_ � i <br /> :URB COCK OT '-'_-_- - '- '---�____'i-_ I _ I —� <br /> - ---- -- --- -� T----- ---��- <br /> 'lERVICE 80X PLASTIC -� C I __�� __ _ _J _�,___ <br /> ..'---_ --__ ...___ ___._--_ - — <br /> METEIt VALVE <br /> _—_—__ . . __- _ _. ._ __ _ . . . ___�__ .— _— ____..— - ____- _" <br /> METEC7 No. TYPE I ?� <br /> _.__.__.____ __- ._.___- _ . . __. ___—. ___ _'- _.__ -_—..-___ __. <br /> METER BOX CONCRETE SMALL LFRGE I I <br /> ____- _____.__.- -_ ..___ --___._ "'_ —' I_- . ___.___-J �__'_ <br /> I ' <br /> -- _— ____'_- _ —I —_ I__- ___, I— <br /> _-'� - I - <br /> -_ <br /> I _ _ _ I___ — I <br /> ---- -- ---- _ _----_,--- --'---- �--- -��_- <br /> , � , , � �_ <br /> ON <br /> DATE INSTALLED: I � OFF SUB TOTAI i <br /> COOf I LABOA ANO EOUIPM.NfRENT�L � HOUR9 RATE <br /> I �- "__ ___'_. '"_a_— <br /> .____ - __-__ _-- _. __. . . _ I � <br /> - _I _-- _ —__ I-__"__ _ " _ ______I__.._. <br /> - _ _.�__"__" _____." ____ —_ <br /> — �I '' <br /> � � .._..-�i <br /> .-_ �-- ---I _ � _.-_J___I <br /> __- ..__ __. .__--_.-... . _ . _._- <br /> .. . _ . .__ . __ . _ _ ._ _ __ . ._ .._ _.___ .__"" "'I� <br /> _-_. -.___._. .. _ _ '_ " _-"____ _ . - � <br /> I <br /> / / . . --_. _ '_"__ . TOTAL ._III'=' '_ .I__.' . <br /> � , � <br /> _ REMARKS: � ' __ . '. • . � � . • . ' . � . . 1i. .. � � I <br /> . . ..� . ..-. I . . <br /> / �� r'/ . � ' . . ._ • ♦ . •! . . _ . <br />