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;, APPL.�� � / � qpp��CATION FOR SERVICE <br /> ' No. � f'f d BERVICE Np � �26 <br /> I <br /> / CITY OF EVERETT WATER DEPT. �RDER � <br /> i ED DqTE r ' I3_19�j <br /> I ❑ DEP091T i .--� <br /> � `/� q � <br /> No O. <br /> � 9ERVICE (BY ADDPE )��(J / r O/t J� (,�/� Z� <br /> I � BLK. LOT ADD. <br /> i OWNER� -• �C JC�Qf�`/ _GONTRACTOR SA�/ <br /> I INSTALL^/ �� FLAT �`---- <br /> �—� SERVICF <br /> I I HEREBY APPLy FOR THE U.SE OF WATER IN ACCORDANCE WITH THE <br /> I ORDINANCES AND POLICIES 0= THE WATER DEPARiMENi NOW EXISTING <br /> I OR AS SAME MAl' 6E HERIiAfiER CHANGED. -/ <br /> �� 91GNE0: <br /> I AIATERIA�9 j� IN. 1 IN. � 2 IN I <br /> PR� AMOUNT <br /> � P�PE _ COPpBR•-GALV.•-STEEL I <br /> � CORFORATION � <br /> � RUC B COCK OT I - <br /> � SERVICE BOX� ��'� pLASTIC�C I I �-- <br /> � ME7ER VALVE '--1� . <br /> IMETE_R No, '___ TYPE: I M --.-- - -- — <br /> � METER BOX CONCRETE SMALL LARGE <br /> i-- I I— _ <br /> � _ I <br /> 1 I <br /> 1 I <br /> � --I I I <br /> I , / I I I I � <br /> - DC' lY' . •� l <br /> � �ATF'fNs�atr-c_ia: � _. /-,., � ❑ ON . <br /> � --1/� i , . . � OFF `' f. ., . f_� SUB 70TAL <br /> 1 ��OE I LABOR AND EOUIPMENf qENTAL � <br /> I HOURS qqTE <br /> I I /� \ i�% � • ..• /-- I / <br /> ��Z_�',1, , ,�:, � -- ----- -- - --I- � - <br /> I I�/ \ R •, a l�� I—' _ <br /> I I �r/ / � _' <br /> I I �---� <br /> �---- -- -_ I <br /> �---� -�-�-- ----- - <br /> �- <br /> � <br /> I RrMARKS: , � TOTAL <br /> I —�� / '� ' 1 r� . ___________�. _, _ _ . .. _� - <br /> _ ✓� � . . r . . . � . � � . . —.1. <br /> / � <br />