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APPL. i SERVICE <br /> No. �J[�7�j CITY OF EVERETT ORDER <br /> APPLICAI ION FOR WATER SERVICE nf 7�����j/',$ 4� <br /> �+{ FIXED DA'fE—__1. SC.�f9 <br /> r-'� �^ <br /> � oEroair• �j�r� w. o. <br /> No._ <br /> � —__— <br /> SERVICE ��YAoo�[01 �� � � � I�_(�' �"�. BLK_ /�_LOT/� 11��DDf...L:1lL�� �lI � <br /> OWNE � � � �� � `l CONTRACTOR ' / �y`/_S1(1SLV1�11 <br /> INSTAL � -" LA�RED SERVICE_ _ <br /> I HEPEBY APPLY FOR THE USE OF WATER IN ACCORDANCL WITH TI{E <br /> ORDINANCES AND POLICIES OF THE WATER OEPARTMENT NOW E%ISTING l'��,� � <br /> OR AS SAME MAl' BE HEREAF7ER CHAaGED, e�cHeo: X — � � __1`____�___ <br /> MATERIALe }�i IN. I IN, � 2 IN. �� � PHICE ' IMOUNT <br /> PIPE �l_{�.�`�_ �� ' �—___I_—_._ � _ <br /> CORPORATION i i I I <br /> —!— <br /> CURB GOCK •9i. ���_133� � I <br /> SERVIGE BOX PLASTIC •• G 1 I <br /> METER VALVE <br /> METER No. 7YPE: � I �f <br /> METER BOX GGN6Rli£�"r1�`St CL LARGE <br /> R�H ,—��_��3-�_.��_���"-r�_-- � <br /> ►+i�n�3 __ --� --�� — <br /> j�T L 2 I _ <br /> rT� i I <br /> ASofIALi PRlatl ��f���' _ --� — <br /> �-�( I � <br /> DATEINSTALLED: <br /> Q�� �� �� I '� OFF �_'j'���, SUB 70TAL <br /> COOE I LABOR AND EQUIPMENT RENTAL � HOURS RME <br /> fl- I�^�-I'1 t�.� ��_ CT-�e;.+c; ,�_I3�� <br /> i � , E-'���� ��� _ <br /> i— Zti:�g--- �3�5_ -- — <br /> ' ---�rJ—..i �3_.�. -- <br /> ! �,�_�� _I�S <br /> I I <br /> I �� <br /> TOTAL <br /> REMARKS: <br />