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r <br /> � <br /> APPL �SG 3 SERVICE + < �" <br /> No. 02 CITY OF EVERETT ORDER NO. �' :: '_ : <br /> APPLICATION FOR WATER SFRVICE <br /> � FIXED O DAT a�—18� <br /> % <br /> � 6EP051T s L,L�� _ V.. O. _ <br /> ; __f' <br /> No.. <br /> SERVICE (ev�DOREe9)�O� J�� _—_ ' ,�ADD� — _1���^" <br /> ', t BLK._ LOT— <br /> OWNER_A}Y/LL - .�L� _ _CONTRACTOR_ _ <br /> ' _ <br /> INSTAL J ETERED SERVICE_ ----- _ <br /> I HEREBY APPL FOR TNE I15E OF WATER IN ACCORDANCE WITH THE � <br /> ORDINANCES AND POLIC ES OF TME WATER DEPARTMENT NOW E%ISTIt:G <br /> OR AS SAME MAY BE HLflEAFTER CHANGED. eiGrveo: _—/.. - _ __ . <br /> �� MATERIALS yi IN.� 1 IN. � 2 IN. I PpICE AMOUNT <br /> IPE ��__�_ COPPER--GALV.--STEEL 35� � <br /> CORPORATION H 15� 0 5 � _ _� _ <br /> CURB COCK OT I � <br /> SERVICE BC`X PLASTIC -- C I I <br /> METER VALVE <br /> METER No. TYPE: __I 5A <br /> METER BOX CONCRETE SMALL LARGE � <br /> —.--_ _i-- _ <br /> _ �� 1 50 7 ? _.� _�_� _ <br /> 10 Sol� _-_�Wiv�2 � � <br /> ��"�_�4J1��J o�_ C��_F�� -o --i _J_ -. <br /> -- ----- �! —� <br /> - -- — --�- -- <br /> � /� tlN <br /> DATE INSTALLED: / ��L —��L[. �OFF SUB TOTAL <br /> `f ( <br /> CO�E I LABOR AND EOUIPMEN! RENTAL HOUPS RATE <br /> � — ---.Sf—J�—�S 1-E�%— —— <br /> I -- -- � M.cs!_r�,_I 5 �� —_.. <br /> I � ?!I —IS " --- <br /> —� - -�'q7� O� ��so� 15� — <br /> _ � ' <br /> —I <br /> _i —_i. — <br /> TOTAL <br /> REMARKS: <br /> ' / . <br />