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NoPL� �n � -APRLI£ATION FOR SERVICE SERVICE �° � $ �J ,rj <br /> � CITY OF EVERETT WATER DEPT. ORDER <br /> Q�51XED �� � �O DATE �S �C-'' _�g� <br /> � DEPOSIT S W.O. <br /> No. <br /> SERVICE (Br ponRnees)� ro�i`.S\ �) 1 P[J `11L. BLK. ` LOT� 1� eDD. ✓ / u C'(u <br /> OWNER /`� � 1�U �U�S _ GONTRACTOR S A 1Yw(�_ <br /> . IN57AL �' l� METERED SERVICE <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � //�� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING � �L., <br /> OR AS SAME MAY BE HEREAF'fER CHANGED. aiaNeo: X—�\ _�;__ _ <br /> MATERIALS �/� IN. 1 IN. � 2 IN. � PRICE AMOUNT <br /> PIPE COPPEft--GALV.--STEEL I <br /> CORPORATION _ _�I I <br /> CURB COCK Ol' I �I I_ <br /> SERVICE BOX PLASTIC C 1 3� I I I <br /> _ � _ <br /> METER VALVE <br /> ME'!ER No. TYPE: I ;§ _ + <br /> METER BOX CONCRETE SMALL LARGE � _� <br /> I �_ <br /> '—I — —� <br /> I I <br /> I I� <br /> � ON /// / <br /> DATE INSTALLED: .0_ _ � � QFp y 1 SUB TOTAL <br /> a9 %/ / <br /> CODb I LABOR ANO EqU1PMENT RENTAL I HOURS RATE <br /> I .a�Xv,e%e,� �— <br /> —��'��e���s.L'._ �// �_�— �� i <br /> � I II i <br /> i � ,; , -- <br /> �� , <br /> _� - - -I -�I I <br /> TOTAL �� <br /> � RENARKS: G� _ __ ___—____ __ � _ <br /> -- – -. ��.-S"C' <br />