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APPL �Ly^ / I <br /> No, 4��u � � ✓ CITY OF EVERETT SERVICE �� � �+ <br /> APPL�CAT�ON FOR WATER SERVICE ORDER NO. •��� �-I � U <br /> � FIXED o DATE��' �/ _�g �7 <br /> � DEPOSIT s m,3�5-�� <br /> W. O. <br /> �1 �) � �7 No. <br /> SERVIGE cavwDorsEes�=� 7.�C_��"�"'°'>"+ /, l�BLK..—._LOT DD. <br /> OWNERs�-L_��/�7 "�"'� � /10e:" ' 7�I <br /> s__,<_��C-c GONTRACTOR_.___ <br /> INSTALL� {/ 1�ED SE�_ __ _ _ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE <br /> OIiDINANCES AND POLIqES OF THE WATER DEPARTMENT NOW EXISTIHG G�[ \�' <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicNeo: X 4'+ _,__ '� ii:'�-'^; ✓�' �-�✓� <br /> MATERIALS 4' IN.� � IN. � 2 IN. I PfiICE /AMOUNT <br /> t <br /> PIPE aS t[., COPPER» GALV.- STEEL___ 5 �� —� I-- <br /> CORPORATION 1-{I_�OO�_ __ J I <br /> --._ � ___I_ __ <br /> GURB COCK OT i � '- <br /> SERVICE BOX PLASTIC _C I I j . <br /> METER VALVE �, � <br /> ___-.-_. ..__ . _ . _ _.. —_-_ . __. I <br /> ___ _-___— — _ <br /> METER No. 7YPE: I , <br /> —_tt_�c�_?_�- _ , _- — _ --- --I-1— i —_i_II -- -- — <br /> METER BOX CONCRETE SMALL LARGE , <br /> / ___ ____ <br /> .�� t es c�-ia�,�.�-�,—��,j� , ; — <br /> —��5—��"s�rS._�_ i Ll 9 uc� �/31 � — �— --- -- <br /> ---- --- —I—I---- I-- <br /> 1 I � � - <br /> I 1 ON <br /> DATE INSTALLED: � -� .�.G - �G � OFF SUB TOTAL <br /> COOE I LABOH ANpEOUIPMENfRENTAL HOURS RATE <br /> I ---- -- —_.�. J �'J( �� - <br /> i --- – - — - — <br /> � -- --G��'nc4k7,�- n — — <br /> - - - -� �2// ! u <br /> - ----- <br /> /z� 9� �-� <br /> —� — ------ �- #37��� -r� -- �I <br /> —� -- --- --- __ � 3yZ_i_ _l��_ - -- <br /> —�---- ------- -------- _---�3a,5 I � tff� - <br /> _ I ���.�{I.� ,.,,� <br /> TOTAL <br /> REMARKS: <br />