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No��o�T(/o� � CITY OF EVERETT ORDEN fi NO. •'�f�.' J <br /> APPLICATION fOR WATER SERVICE q�y�"" �� �� �� G7� �y <br /> �IXlD DATS{1.-_�w_L_L_'_tY� <br /> ❑ � � f �� W.�O <br /> � tlEPOs1T s.1��-- Na__ ____ <br /> SERVICE ��rwooen����QS¢C--6/%~�L2��z'- �--� --- ____BLK.O�vD.__L6f--a70'7ND.—_Ylu�.ri� <br /> OWNE � �J . -__CONTRACTDR__________.__ — <br /> /f F�..�� <br /> INSTAL � 1(ETERED BERVICE _ - _. .__.-._______�_ __ __ _ __. <br /> I HEREBY APPLY FOR THE ATER IN ACCJROANCE WITH THE � \ <br /> ONDINANCES AND POLICtES OF THE W�TER DEPARi�MENT NOW ExISTING � �,�, <br /> OR AS S�ME MAY BE HEPEAF7ER CHANGEO. siaN c�f.__'.G'(�y�,(..r_.___ _ .��(y�N ._ .___ <br /> rawrFnlwu - - ..... ._....' ' ' W IN 1 IH. I 1 IN. L -�-- C[� <br /> PIPE � COPPER-• GALV. •-STEEL � � <br /> I <br /> CORPOR TATION I���-p_____ _ _1____,_ _ _ _ <br /> CURB COCK OT <br /> _ _-_—_. —._._-__._.— .—__.__.._______.—_ —__ —_ __ <br /> _SERVICEBOX __ PLASTIC_• CI _ __ I __�_ _ <br /> METER VALVE � � <br /> _. . . .. _ _ . .. ___.—_— _ __. - .__ . .____. . _..— _._— <br /> �O —' __ <br /> METER No. G_I_��__. _._ TYPEY7��ER I �_ .--.. � —. _'_ _— <br /> _ ___ __ _-- ____ — <br /> METER BO CONCNET �,f�s�G SMAL LARGE � <br /> " "o,���-sroP__ -__ --_ J -1 - _- -- - <br /> -PR-.3------ -- - _- �-� - -- -- <br /> — �—.�1"'��L 4 -- ---- --- -- --�--' — ' — -- ---- — <br /> i <br /> —-- ---- - -- _ _ _-- — —-- -- <br /> �dD. , Qi C'0�.(rIL l( �?h Fl - - I — — — — <br /> � --t--,-- ; <br /> �ON <br /> DATE IN4TALLED:�Gf '�7� � OFF SUB TOTAL � <br /> COO[ � LABOR �NO EOUIPMENI P[NTeI i HOUR! RATC <br /> —� i r <br /> - -- <br /> —;- - --- -- - -- _ <br /> _ - - <br /> —� - -- _ _ �� �o�< -- - — -- <br /> -- <br /> — -- _ �� �i-- � r - -- — <br /> -� -- 99'�/�3 �.� G� - '�-- ----- - -- <br /> � _ �3z�__ _��- <br /> -�---- - - - -- - <br /> -�-- ---- - _- -- _ _- - _ - - - ---- --- -- <br /> __ , _ f- _ <br /> TOTAL <br /> REMARK'J: <br /> I � <br /> II <br />� <br /> II <br /> I <br />