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APPL. �OV D 8 APPLICATfiJN FOR SERViCE SERVICE N° � 3 2 � <br /> No, ,.��� (-c' �' ORDER <br /> CITY OF EVERETT WATER DEPT. <br /> �--FliLEB— DATE__�,r"�_10�c_ <br /> rtY�DEP081T S_f�'_3.j C� �) W.O. <br /> �'1� � No. .—._.____ <br /> �.) � .J � '. � � . . � . . __ <br /> i <br /> SERVICE ur�nonfiss�-�lL�1K_L=C� -F��E`._�'_L�:��.L----BLK.__._LOT_�—ADD.___.__ <br /> OWNER - __________________. ______CONTRAC70R O <br /> �,!— �-/_E+a--:- �' -. / <br /> INSTALLi___METERED BERVICE___JI�'t.c�:fr�etL�__..� C4iN ��7 J.q ' <br /> I HEREBY APPLY FOR THE USE OF WA7Efl IN ACCORDANCE WITH THE � , <br /> ORDIN�NCES AND POLIQES OF THE WATER DEPARTMENT NOW EXISTING � _ �c_�,—_._ __ <br /> OR AS SAME MAY BE HERE��TER CH�NGED. aoNeo:X:VL. . L_�f�ti <br /> M�TERIALB 14 IN. I IN. I i IN. PRICE AMOIINT <br /> PIPE ____ COPPER-- GALV.--STEEL...._..._ —_ __ I <br /> CORPORATION ________,__ —� U I <br /> CURB COCK OT I <br /> __._..____ — — —__��_—I—__ <br /> SERVICE BOX __ PLASTIC •• C I � I I <br /> METER VALVE <br /> _.._.____—_ ___ _.___-- — —.__--__ _.__ <br /> METER No. ) ���j �l,/ �� <br /> —_—h,J--I-- _-__..U`/���VPE: _�l `i� _I_4 ---- ___ _.._ _'._.—_ /'�-�--J�r�_. <br /> e �� <br /> METER BO% CONCRETE _ SMALL LAFGE I <br /> f- �fX:T� � ,� _/��� './<<•%�%l./;'7� � - - - � � <br /> �'!(_ � � ' " , � � �o. � I ,�1 <br /> =xi ��i , ' -- �31._�__—-- ---� —j -- -- — /9 i� <br /> __-- ___-_ - =-f-� � _ - 1==�= <br /> n oN <br /> � <br /> DATE INSTALLED: � ,-L , G OFF SUB TOTAL yQJ �� <br /> COO[ I LABOR AND EpUI�MENTIiENTAL HOUR9 RATE <br /> � � �i___-_.-___ -_____. -___ _.__.. .. __.--_". . - . . � <br /> _. _.______ . . ..... ._ __.____ __. . <br /> .._.-- ___-__ _ -._.'___` <br /> ' I I <br /> ___I- -_-____. ___-__�-__y____ _.---_ _ -_ .__ - _--_ I �_-_ <br /> ___ ._'__ - I � � <br /> � __"_._ -_-__-____ I-_- -._-_ I "__._ <br /> i - - I -_ <br /> __- _______._._-._._-__-__.__ --_.____.__.- I I <br /> I �. -._.___ -___--. <br /> _____". . _- __ _-.__-_- . .. _._. .. I'i. . .. <br /> . . . _ .. .. ___ _ -._..... . - . - . _ .._- .__'-__'. <br /> � I I _ _. '._ _ <br /> � TOTAL �. II�� <br /> REMARKS: � �� '� I i <br /> ---_ __ - -- :,�1��71Ni- �¢ Vl� - ,.; 1 -- <br /> :.0 �� ii� .'_ �_ <br />