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i �"'� / <br /> ! 4 /(f�,¢ � <br /> � JCP�.Z1 �� y APPUCA7lON FOR SERVICE SERVICE N� Zq00 <br /> � ORDER • <br /> i CITY OF EVERETT WATER DEPT. �-7 <br /> , Q�FIXED I]ATE� �_-19�_ <br /> /J ['V�� C'� W.O. <br /> ' � DEPOSIT S (.J�-�l%` � No. <br /> I <br /> 4le IZ —D n�t�c, —t�c�� -� c--,,��=�=Y <br /> I SERVICE (BAY ADDREtlB) BLK.____LOT —ADD.�� <br /> I OWNER�[��' *''�f����-'l�E-:1.1 _CONTRACTOR—___._ ._ � <br /> � � FLAT' <br /> I �NSTALL�— RED SERVICE ---- � <br /> I 1 HEREBY APPLY FnR THE USE OF WA7ER IN ACCORDANCE WITH THE � � , ,� / <br /> OflDID'ANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING � `� ' �� /](I� <br /> � OR AS SAME MAY BE HERFAFTER CHANGEO. slcNEo: X� -_ - �-`�v <br /> 1 MATERIALS � �i1N. IIN. � 21N. I rRICE AMOUNT <br /> Lrp�p� COPPER�- GALV.--STEEL _�`,s��� _i_ <br /> � CORPORATION ' _ � __ <br /> CURB COGK OT � I _ <br /> SERVICE BOX� PLASTIC,t- C 1 � I -� I _. <br /> --i—' <br /> � METER VAWE _— __ --__ --_—'I_— ___— _ —_ <br /> I METER No. TYPE: I 35 _ _ i <br /> � METER BOX CONCRETE SMALL LARGE � __ <br /> t4 XH�/.; 'H�71��/� $�1n1�iCi� � i _�i_ __ <br /> � - <br /> I �'� -,C=L C' O L fJ_�I�I1 - S � __�_i -- - <br /> I <br /> I -- � � - --- <br /> � - -� -� � � � I <br /> I itx ON <br /> I ��' SUB TOTAL <br /> DATE INSTALLED: � /S_ '7 '7 � OFF <br /> / / <br /> ��� L�BOq AND EOUIPMEN'f RENI'AL � MOl1R5 R�TE <br /> i � - -----�f-- — — <br /> � � -�`��= -! ' - <br /> �, �� �,���,._. I s- -- <br /> � � -- --- " <br /> I � c. ----��� �/ _I S' <br /> i � ---- -�J `- �3;2 I � <br /> I I -- ��� � / -- -- — <br /> �_ I <br /> I TOTAL <br /> � REMARKS: �fPC� S"���r. P <br /> � --� -���r-�---- - <br />