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f�07G9 � <br /> N�n�, v 0-7 � � � APPLiCATION fOR SE0.VICE SEi:VICEN • i516 <br /> CITY OF EVERETT WATER IDEF'T. ORDER <br /> XED � G � DKi���-1 B�/ <br /> � DEPOSIT f ��� No�� _ <br /> C l��i��� <br /> 'JlRVICLr l�V ADDRu�1 0 ��' —� L�1 P V<V LI �I BLK. LOT /�yADC. �_ <br /> OWNEp � ��- �-' L�C�.-��� ��lC G� CONTRACTOR �G S �/� S1e���_ <br /> // FLAT <br /> INSTAL�I�!!!� OERVICe ��.- <br /> I HEREeY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � ,�7� <br /> ORDINANCES AN� tOLICIES OF THE WATER D[PARTMENT NOW EXISTING r.��/A�,� �G�l,d�T�-j;I <br /> OR AS S�ME MAY BE HEREAFfER LHANGED. eicH¢o:X_ - <br /> �_z� �__. <br /> MAT[I1IAL� — I W IN. 1 IN. � II IN. --�� PRi��: AMOUNT <br /> PIPE COPPER-- GALV.••�TcEL <br /> CORPORATION <br /> GURB COCK OT I _ <br /> SERVICE �OX PLASTIC •• C 1 I <br /> METER VALVE <br /> M[TER No. � TYPE: 1S <br /> M[TER BO% C.ONCR[TE 9MALL LARGE <br /> — —_ __ — I <br /> — '—I — — _ <br /> _ _.— —I � <br /> --- - I I <br /> � ON <br /> DATEINSTALLED: � OFF SUB TOTAL <br /> COOE '� LABOR AND EOUIPMENT RENT�1. HOURS � RqTE <br /> �__�.__'� __— . ____-- __I _ <br /> i I —_ <br /> ____I_�____ "-_— -- � —__— <br /> —_I_""—____�____ _— _" __ <br /> I - _— �— _ ___ <br /> � � <br /> TOTAL <br /> REMARKS: ���PI-U ( � C. / r7 ,._�" .' '� :._i t' r e ��'r' ar � . <br /> -��-�-�-_- , -- <br />