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APPL. � � � � � APPLICATION FOR SERVICE SERVI�E N° 3 4 Z <br /> No. ORDER <br /> ����� CITY OF EVERETT WATER D�PT, j�__� � <br /> �'FIXED DATE_ __19 <br /> DEPOSIT g J F2' W. O. <br /> ❑ / n .�i. (j No._ <br /> 7 /�}�- f 1[G' /�.., <br /> SERVICE (nV nooRese>—/� O �--'��t' ��`� � 3LK. LOT /-J AD� � ` <br /> � �� � � <br /> OWNER� ��'�2�LGL��-<-"'�14-� �l � �� CONTRACTOR �� �'� ' — - <br /> �� � FLAT '� � <br /> INSTAI_�MtTEREII'SERVICE_ - ' <br /> I HEREOY APP.Y FOR THE USE OF WATER IN ACCOkDANCE lYiTH THE ' ` 1���- �� , � �' <br /> ORDINAN�Ei ARD POLICIES OF THE WATER DEPARTMENT NOW E%ISTING / �, /�..�..(("/� ��� . � / ' / �=�� <br /> OR AS SAInE MAY a[ 4EREAFTER CHANGED. slcN[o: X�i �'-�___-���.— �� ��' �-'_�-_--- <br /> M4TERIALS I �i IN. 1 IN. � 2 IN. I I PRICE AMOUNT <br /> PIPE COPPE�'--GALV.-STEEL j���___I_I _�`�_��2 <br /> CORPORATION � I I � I� �_/�� <br /> ,CUR CB OCK O� I _I_ I_ r� <br /> SFRVICE BOX PLASTIC - C i � I I ����� <br /> ' — � . <br /> METER VAWE _ . _ __ �_J_. <br /> METER No. TYPE: I '6 —� � I _ <br /> __ _ _ —-_ —� I <br /> METER BOX CONCRETE _ SMALL LARGE — � <br /> - L' �1 f � �- �Ll�� <br /> - .��v -� I � <br /> � � <br /> --- - --I <br /> � � � <br /> aN /l� 'l8 <br /> O! , ///f SUB TOTAL / - <br /> DATE INSTALLED:/.� _ 7 ,( •7 I OFF J� �� „�.L , , ' <br /> / <br /> COOE I LABOR AND EQUIPMENTRENTAL � HOURS fi�TE I <br /> I��7_ _"______"_—_�J� �-1I /�/ I � �� <br /> i i <br /> � � —__'�—_ <br /> _-:.11�i"' . ���I� � L i,� / <br /> ; � _ �� � _ <br /> - - --- <br /> --; I � � <br /> --�- -- - -J-- -_�� - <br /> , __ , � �� , � - <br /> , <br /> � , � , , . ,� �;� i , � <br /> --���'4`----- -- � '--`-`---�------ --=1'i=+'- <br /> � <br /> I TOTAL .I �� <br /> REMARKS: <br /> .-_ ------_-_— —_._-- — — _ `I_ <br /> __- �,--�� <br /> ic - � _ _ <br />