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I <br /> 1 <br /> � <br /> � <br /> � <br /> 1 <br /> � APPL• Zw Z � APPLICATION FOR SERViCE SERVICE N� ]] 6 � <br /> N�� ORDER <br /> ��c2 �, CITY OF EVERETT WATER DEPT. � , /'/� � <br /> � FIXED DATE �,�.�C� � � 19f,% . <br /> � � <br /> � DEPOSIT s l,( _'_ W.oO. <br /> i, �( / � / �Y/') � 1. "N �<�� <br /> SERVICE (evwonnaee)_� �i��� "�^�`�� �r�" BLK. LOT "-�"�� /AJ,�D. � � / � <br /> �> .t_�1� .� <br /> �il , �1"lC 1��/ ��-��'!'l.�N' � �!' � <br /> OWNER __ CONTRA� �C.. <br /> �/ �• :. FLAT <br /> INSTAL� MFi£i!!O SERVIC�—.—__— <br /> I XEREBY APPLY FOR THE USE OF WATER IN AGCORDANCE WITH THE Gr <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING � ll / � . <br /> OR AS SAME MAY BE HEREAFTER CHANGED. 6icHeo:X � ' I l4 , � <br /> MATERIALS � IN. 1 IN. I 2 IN. I PRICE AMOUNT <br /> PIPE COPPER--GALV.--STEEL � �_�� � <br /> CORPORATION _ I . _� . <br /> CURB COCK OT � � II�I� ' <br /> SERVICE BOX PLASTIC -- C I � I' <br /> i <br /> METER VALVE <br /> METER No. TYPE: I ;§ � <br /> METER BOX CONCRETE SMALL LARGE � �_ � , <br /> — � �� <br /> --II-� - ��- : <br /> � <br /> � � <br /> � <br /> I I I <br /> � ON <br /> � DATE INSTALLED: �� —,j�� � O I � OFF SUB TOTAL � <br /> COOfi I LABOR ANU EqU1PMENT RENTAL XOURS RATE <br /> �_ <br /> i � �II` I � <br /> - i I' , <br /> -- --- � ii -- � <br /> - ' - - �'� i��,-�__ �� <br /> �� � � � rorn� �� <br /> REMARKS: � <br /> " _—�� cn. �'� _ 7 __ � i,i �. 'C1.— __— _"-- <br /> O PDf'��- � <br />