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w�P�. a�o-� I CITY OF EVERETT SERVICE <br /> No ORDER n <br /> APPLICATION FOR WATER SERVICE ���9 J� <br /> DATE-- iG <br /> � FI%ED <br /> � DEP031T � Qlo�----�-- �' }�' <br /> � �//'���r � � BLK._ LOT�_AD�.-��.1--- <br /> BERVIGE (�Y ADDRu{)��-lu�� <br /> OWNE . CONTRACTOR <br /> IN3TALL—J�� ED SERVICE � ��� ��' '� -� ---- <br /> I NEREBY APPLY FOR THE USE OF WATER IN ACCONDANCE WITN THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR I15 SAME MAY BE HEHEAFTER CXANGED. e��rveo: X. -- - --- <br /> MGTERIALS �'i IN. 1 IN. � 2 IN. I� PPICE " AMOUHT <br /> p�pE COPPER-GALV.--STEEL — �—� _ <br /> CORPORATION ' - <br /> CURB COCK �T I — <br /> SERVICE BOX PLASTIC -- C 1 I <br /> METER VALVE _ _ ___ - --- — <br /> METER No. TYPE� I `� � -. — <br /> METER BOX CONCRETE SMALL LARGE � I li <br /> — — - ---'I —�—I-- <br /> � �— <br /> -- _ --� �--— <br /> --� —�,� <br /> _ I—�'�—; – <br /> ; <br /> sf– <br /> -�' DATE INSTALLED: �O//I�5'P I � OFF /v� � SUB TOTAL <br /> � <br /> CODE I LABOR AND EOUIFMEN"fRENTAI MOt1R3 RATE <br /> ��I _ �• - <br /> I I _ <br /> � ___ I -_ -___. <br /> -_ - . ____ _"_- -_I-_ _. _ _ <br /> -I _ _.--__--- I <br /> =II . --'. � . <br /> � TOTAL <br /> � REMARKS: c CWp��.� ,2bJ�/ __ __—___'__—____— . <br />