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APP�-• / � 8 �� APP�ICATFON FOR SERVICE SERVICE N° 6 4 9 <br /> N�. <br /> ///���,�7� CITY OF EVERETT WATER DEPT, ORDER ' // �� <br /> fCY'FIXED �kT —19—.� <br /> �o� � C U ✓ <br /> � DEPOSIT s �� i � W.O. <br /> , No. <br /> � � /. <br /> � !� iL <br /> SERVICE (BYAUDRESS) / C� -`�4.�_J gLK. LOT��� ,DD. <br /> OWNER�7..:_-�.� .�/ �"� -t:-l� <br /> CONTRACTOR <br /> .�j� FLAT <br /> WSTAL� METERED SERVICF <br /> 1 HEREBY APPLY FOR THE I15E OF WATER IN ACCORDANLE WITH THE �� 1 J /� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING J � /� � t t .J-�-� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicNeo: X LC�9'"�2 � � ��-�/d.�d <br /> :.IATERIALS � IN. 1 IN. � 2 IN. I PRIC[ AMOUNT <br /> •� PIPE, �p R a GALV.--STEEL Z�5� S� �� <br /> (_CORPORATION� 1 II JqI� <br /> ( CURB COCK! �OT �� I I II_JI� <br /> �i <br /> �' SI3RVICE BCX� �LASTIC • CI I �I r�_ <br /> METER VAWE -- -_ — __— I <br /> I <br /> METER No. TYPE: I 3f _I <br /> METER BOX CONCRI=}'E SMALL LARGE I <br /> __ C O ' - — — �L_��-�_ <br /> - ----=�T�,� � � . ��lL; X.� I _ I <br /> _ , � c _ -�• ,, I =1 �� <br /> I I <br /> I <br /> I I I <br /> � � ON � <br /> DATE INSTALLED: c? _ j ' (� OFF � . L�' �� � SUB TOTAL 35 33 <br /> �C> �' 0 /, L.c: <br /> COOE I LA90R AND EOUIPMENT f.ENTAL - � HOUaB NATC L— <br /> G� '� <br /> � -, , �S_ � 3, i� �_ �� .- <br /> -- ��lcfr:�V_ �''�_ �•�"�-� L'. �L�. <br /> i � II I <br /> �� _�� ---- — -- �� =� `����II � � � ` - <br /> I I �I <br /> �� _ —_ _ _- —_—__—� TOTAL � �('(!JI`Y� <br /> REMARKS: � I L= .0 . � O �C''� i <br /> �.•_ _ _ _ <br /> � 7���T.—'___'—__——'___'__ .. , ' '_ <br />