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APPLL� ���9 SERVICE � '1 '1 �I <br /> No. aT :,IL'! OF €VERETT ORDER NO. _ �"� -��-� �. <br /> APPLICATION FOR WATER SEFVICE <br /> � FIXED �p DATE�ut=r�_1P�� <br /> � DEP0517 S ;�35 l— W. O. <br /> SERVICE (eY oo eee)����t�"'� BLK._�L�`—^/—ADRl�fE�d <br /> OWNE�_�—/'�1-lN-�L_4_SC�N7RAGTOR_ �� <br /> FLAT <br /> INSTAL �/� METERED SERVIGE—_-_ . —___— <br /> J i <br /> 1 HEREBY A PL7 FOR THE USE OF WATER IN ACCORDANCE WITH 7HE �/ � C �K-- `J�` <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXIS7ING / <br /> OR AS SAME MAY BE HEREAFTER CHANGED. s�cr+eo: X_ _ . <br /> — —�_-- <br /> MATERIAl.S �: IN. 1 IN. � 2 IN. � I � PPICE AMO NT <br /> ' PIPE ��}S%-�G COPPER-- GALV.•• STEEL ,3G �— � <br /> CORPORATION 6(���A/.r%A l _ <br /> �CURB COGK OT I I �_I_ <br /> SER\'ICE BOX � LASTIC - G I / I I . <br /> METER VALVE <br /> METER No. --_---TYPE: —�� �—�—I `e — ---- _��— �- — --- <br /> METER BOX GONCRETE SMALL LARGE I <br /> �f - l.ro 7.3 - �—I —I--- <br /> ,�'-c�_ �X���B _FivD 1 I �—I— <br /> I i <br /> -- --- —� �— <br /> I I <br /> ----- ---- -� -, � <br /> ON <br /> DATE INSTALLED:� �17 _��' � OFF SUB TOTAL <br /> COOE � LA�OR AND EOUIPMEN�fRENTAL ' MOURS RATL <br /> I �_y�� <br /> ____' __.1�_GL-- � __ <br /> I —. _ —,�L�.�-.�f G�/� I f^ <br /> `/ —��—I V <br /> I' � Q_��,F�.��L.- --- <br /> -� ==�9�' - - ,��. ,�_ <br /> -, <br /> -� --- - � <br /> TOTAL <br /> REMARKS: � � <br />