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Na�L'�^� � CITV OF EVERETT ORDER E NO. � �� ii .rl <br /> APPLICATION FOR WATEP SERVICE <br /> � FI%ED DAT�«�-1Y� <br /> � W. O. <br /> � D[r061T �Q __ No.--_ <br /> ,`/ � �i' <br /> lERVICE I�v�ooetul ��v��'�� '�"_- _�_�BLK._ LOT ADD. <br /> ,� <br /> OWNER�:�[�� ���r� �=�------CONTRACTOR - <br /> � // <br /> INSTALL M TERED 6 VICE — -. -- ------- - -- ----- <br /> I HEREBY APPLY FOR THE USE Oi W�TEN IN ACCORD�NCE WITH THE <br /> OPDIN�NLES AND POLICIES OF TNE W�TER DEPARTMENT NOW E1cI5TING � .. <br /> OR AS S�ME MAY BE HEREAF7ER CHIINGEO. naNeo: X __ .. - -- -------- <br /> M�TLRI�L� 11 IN.� 1 IN. i 11H. I PPIC[ AMOUNT <br /> ��� <br /> plpE ���S�f '(, COPPER-� GAW._ STEEL___ _� SY �_ <br /> COPPORATION . <br /> CURB COCK OT I _ <br /> BERVICE BOX PLASTIC •• C I I . <br /> ME7ER VALVE F y_J_ _.T..__ _ . _ ___ __.__ -�l II_. � _-_ . __-_ __ ._-_ <br /> METER No.�(,.z�_-_..�_ ._ TYPE�G:I!1 C I �f_. ___. 1-I— _-— _— - _— <br /> J <br /> METER BOX GONCpETE g'iS��C"SMALI _ RGE _ _ _ <br /> � / ' � � J _ ____ _.— I — <br /> a x �6 -r� ��- � �' - - ---� — -- - - — <br /> —�`- /--- ��.—� L�-.�'T�i' – � — — -- - <br /> � � ,�-�:/ '� / / •_ � <br /> --lY--1,�� �./.�-L�`=�-�'� -''-(S`�--- -- -- - ---- - <br /> I <br /> —_-__ ____.__._-"_ - --� __ —__ ' - <br /> /O 0 Lv1 T'oP c r .Or� i � � <br /> CATE INSTALLED: �^�_ -7� I � OFF SUB TOTAL <br /> COO[ I LABOR �HUEOUIPMENfRENT�I HOUR! �RATE <br /> -� -- ----_ _ _ --�-1�4� r���_-- <br /> � --- _�.��t �_ I � �1 <br /> - --- -- <br /> � � �Pl�o � I� <br /> ---'�- __ ___ <br /> _ <br /> --– – <br /> —� � �.'�a..l1 __I��j ----- --- <br /> �- - �--- - , <br /> --' --- _ i�� z <br /> � �3� } --,--�. --- -- <br /> -- ------- - - -- <br /> --------- - -- - <br /> .,,_ �(;,�,�� � _�_ `� yr <br /> _ .- --- <br /> � 34� i� <br /> 7� ( � � �' '��, 9� TOTAL <br /> REMARKS: . ___.. _. _- --� <br />