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i � <br /> � <br /> APPL' �S �/� CITY OF EVERETT SERVICE n <br /> No. CRDER NO. . m <br /> APPLICATION FOR WATEfl SERVICC � o / �J� •• <br /> � FIXED DAYE/l�(N.'PzL.__19fJs � � ,��� <br /> 0✓ W.O. -I TI <br /> � DEPO5IT y��_ No.—_ -- <br /> /� .-� -� <br /> �-2�-,�j � ��-�-G���77/'� � s-8•3 � m <br /> SERVICE (er �DonE881 �d ✓ BLK._ LOT._� — — � O <br /> � �i�q„� -- m o <br /> OWNERLS����_ __ CONTRACTOR— -- � <br /> /' -1 C <br /> O =: <br /> INSTAL � METERED SGR�'ICE - -- - — - � - --- - - � � - m <br /> � -I z <br /> I HEREBY APPLY FOR THE USG OF WhTER IN ACCORDANCE WITH THE ��,� �" � <br /> Of101NANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING �/��� r �-. <br /> OR AS SAME MAY 6E HEREAFTER CHANGED. BIGNeo: X ,��.GC�- i.�1L� . �G".-e� -- .0 : <br /> � <br /> MATEqIALS �' IN. 1 IN. � 2 IN. I I � PRICE AMOUNT � _ <br /> PIPE �'�.".�I.�� I� COPPER.- GAL.V.--STEEL j^]�� I I � N <br /> ___ —_' �—�— -� -c <br /> CORPORATION ___ _ _I__�I_ . � D <br /> �_RB C__—O��_OT_ _ / _I �__ =m <br /> SERVICE BOX � C i I I _, m N <br /> — ����� __ _-- <br /> METER VALVE -- O r <br /> — ------ -- - - -� - -� �--I �-- – - c�m <br /> ---- — <br /> METER No• TYPE� `" - C N <br /> ' — - s <br /> _. . .—_- " ._ . —_. . ____ . __ _. '.._____ _ -- --_ � <br /> METER BOY. CONCRETE __SMALL _ L4RGE i4 '/_ . __ , __ _ � r <br /> �-,� m <br /> i l/� ( ( ,j r �✓�/�// �/�'U� r.'i!/_/LL/��– --I —�I— -- — a <br /> �— �_ �� � <br /> �_ ;n'�f l G_�'' ��. rL_'Ly �--'� �_ � �— — _ <br /> _`,y��. ,/L�f�� !�� �.��/.t_�------�—i --i n <br /> ��-_y;l ;L.._., ;,T --- -1_ � � <br /> -���'��� �nLi� -- /�.1� %J�i� _ �I I �, <br /> /C//�F_ � �-- — o <br /> _' �ON ' i ,-� <br /> '� " ��� �. SUB TOTAL n <br /> DATEINSTALLED: l�l--�"� :1. I � OFF /�' �� ..'.J����-' m <br /> J�� <br /> CO�E � LADOR AND EOUIPMENfRENTAL HOURS fiATE <br /> =-L' ` � -� <br /> --�i - --_ �-, ���/��1�� -_ _ _. <br /> / -_� � I�<, � <br /> --� --- ��rG 0 ��,���� __I�y�,t _ <br /> - -� - � � /---Z---��-- --- - <br /> --� _ ---- - ------- - ��--- - --- <br /> � 70TAL <br /> .. EMARKS: . __ __ _ __ . " <br />