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nPri.:�"` ��,� APPLICKTION FOR SERVICE =ERvicE No �:;;' _ .t <br /> Na. I ORDER <br /> CITY OF EVERETT WATER DE.PT. � � � <br /> DATE��_ L�_ � <br /> �� � FIXED ` Z iB rti <br /> �, � DEPOSIT S'Z•�hj'fJC� W'O. ti b <br /> LEAJPL_. (3'-Z�,-4 �," <br /> ��� �iL.1 '-� � « <br /> SERVICE (BV AOORE98) BLK. LOT AO�. �b <br /> � s5 <br /> � nv 1 <br /> , OWNER��" - �SF�.Z'f�"-'' ---- CONTRACTOR �' <br /> i �i <br /> ' INSTAL METERE�' - � ��� <br /> i <br /> I 1 HEREBY APPLY FOF THE IIS . O ATER IN ACCORDANCE WITH THE <br /> i ORDINANCES AND PCLICIES OF THE WATER DEPARTMENT NOW EXISTING �/�� / ` ,1�! <br /> � OR AS SAME MAY BE HFREAFTER CHANGED. s�cr+eo: X_- . <br /> �--- �1� <br /> ; M1IMERIALS I �i IN.� 1 IN. � 2 IN. �i I \ PRICE AMOUNT <br /> j pIPE �CO R j GALV.--STEEL � �k <br /> , --- --�';_��� _ � <br /> � �ORPUR/.TION _ _ <br /> �� CURB G:JCK OT _I_ �_I_ <br /> � -' <br /> SFRVICE BOX PLASTIC - C I I _ __, <br /> 1 <br /> I METER VALVE I ._ — � '� <br /> � - - --_ — —_ - �i <br /> � r ./ p <br /> i�ME-T-E—R No-. �) Q /� �/f <<= � __ ___ - -_ <br /> 1 L� TYPE: i( �- I-'--I . <br /> ���TER BOX CONCRETE SMALL LARGE _ � � <br /> �". <br /> � f"�ii=T�/2 �i-f�4/vF( � � �_ , <br /> i I �— � <br /> � — � — — <br /> �. <br /> � — m <br /> i— -- —_ � � --� - — -- �� <br /> rR JN <br /> �� SUB TOTAL <br />� DATEINSTALLEO: I OFF � 1 <br /> � /- /7- 77 � <br /> F I <br /> LOOE � LA60F ANU EQIIIPMEN�f PENTAL I MOURS RATE <br /> j <br /> }—� — —�'�i>�-- I �_. <br /> , � S� �' <br /> � � -�'�.u�,— — — <br /> � I iI � l/ � .s` r;� <br /> i <br /> �-- ---- - - _-1 . 3� ��__ __ n;" <br /> �=- -' �--�.-_-- i � <br /> � � _ --- - -- �� <br /> , i - � , K <br /> , -_ --- - � ; <br /> --- <br /> ,,� ; --- - --, <br /> I ���` TOTAL <br /> I R'eMARKS: �lC�f�.� d.�-S'l7Gv'ki� �lPl�^�i � � f F��1 //�,.C, ' .� .j, GU�_S_ i)L / L'J-r( �� . .�I <br /> I (� . tjl� �'�'/.I//ii r;. >;���_��'/'o�/c r _. . __ . ._. . . ... _ � <br /> . .. _ __ . _. . . . . . _ __ - ._. c 5 <br /> � <br /> '� <br /> �g�l <br /> I '; <br /> F-ha <br /> 6,� <br /> lw: <br /> �...-. <br /> �... <br /> I �' <br /> � <br />•y�..� �+�.: . ... +�.-.. +.. t . . _ <br /> , . <br /> _ .w. + �� : . CF. ` _ _ ' _ ' <br /> : _ <br /> � , _._ . ... _ : ' _ <br /> � <br /> ..a.=. _ __ :.. �.., �- � �..-_�� '--- �_ - - ' <br />