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` W � .7 APPLIGATION FOR SERVICE SERVICE N� � � 3 <br /> , APPL ORDER <br /> N�. CITY OF EVERETT WATER DEPT. A ? <br /> . �. , CATF f'�. i 1B`__ <br /> �.' <br /> rb'FIXED W.O. ' __ <br /> �v [ <br /> ( No.— <br /> � DEPOBIT si.. __ t.. 1 �n ,. -� <br /> n ) /' / r, <br /> (/• .,� ./�.� jK ��', :✓-�. �-�� �--BLK.' LOT (� '... qp / ���./R.�-__ <br /> SERVICE ter woorsesa) . - , � ��fj�, j� , � � ( F �f�!-. � �f'. <br /> __ ___GONTRAC70R—��- — <br /> OWNER <br /> -. / '" FLAT ---- <br /> INSTAU �� METERED SERVICE --—" '/� <br /> I XEREeY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE //� J /l / ,n `'��'.1, ��-- - <br /> ORDINANCES AND POL�CIES OF THE WATER DEPARTMENT NOW EXISTING [/(/ (' /���z_ <br /> s�.ueo: X——' <br /> OR AS S�ME MAY BE HEREAFTER CHANGED. --� pRICE AMOUN?_ <br /> AtATERIA�9 �/a IN. 1 IN. 2 IN. <br /> I <br /> P�PE COPPER--GALV.--STEEL _ ' <br /> I i <br /> CORPORATION �!I . I--�I� <br /> CURB COCK aT —I —���i <br /> SERVICE BOX PLASTIC -- C � _ <br /> �_—_ <br /> METER VALVE _ - I - _ <br /> TYPE: `� _ — —�- <br /> METER No. -- ----- <br /> SMALL LARGE _I I <br /> METER BOX CONCRETE — <br /> � _ <br /> -_ i __I I <br /> _ - -, -� I�-��= <br /> �� -- �- <br /> I I I <br /> yy ON <br /> 3 /�G f/ I ❑ SUB TOTAL <br /> DATE INSTALLED:IZ� ❑ �FF <br /> HOURi RFTE <br /> �ODE LABOR AND EOUIPMENT RENTAL I <br /> . I I ��.� I_- <br /> � - -�J I <br /> I _ <br /> - - - _J_---_��_ <br /> ----- � _ <br /> I'� _ _ - ---------=il-- ---���� <br /> I TOTAL <br /> \� / 'c` L�~—_._ —_—_'—'_— .—_--_ <br /> REMARKS: U t� ...� . _ -._�.. —_ — <br /> —_—_---_� — .. <br /> � / �������—__ _._ — _.——_____'__ __ <br /> _—_".____ . _ . __. <br /> __.__.—___ <br />