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SERVICE <br /> ^PP�• CITY OF EVERETT ORDER , <br /> No. �-�� I�� qppLICATIONFORWF+TERSERVICE �'�� 5937 <br /> .� FIXED DATE_—__—_--16— <br /> W.O. <br /> � DEPOSIT s No. __ <br /> SERVICE (BY �ODREe81 L?�f l�(,1 Vr�` K��,�___6LK._N�LOT_1 � `r�ZA�D-�_Nr81�. <br /> OWNER��IL,{C�_ .�ONTRACTOR�lW1J C - �,�!� L� -�— <br /> � � 1I CE�� ,�> <br /> INSTALI_CL—METERED SERVICE_--- �� -� --- --- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACLOFDANCE WITH THE �\ � ' � <br /> UROINANCES AND POLICIES OF THE WATEF OEPARTMHNT NOW E%ISTING � <br /> OR AS SAME MAY 6E HEREAFTEH CHANGED. slcHeo: X -���O-�riP . . ��" o�! ____ ______ <br /> MMERIALS I �/ IN. i IN. 2 IN. i I ���E AMOUNT <br /> �Q 1 <br /> PIPE � A'�`1���__ _'—.e'(L I ' — <br /> � � <br /> CORPORATION ���}�.��� � I _I _ _� _. <br /> CURB COCK •� �� � � _ _I �__— � — <br /> 9ERVICE BOX PLASTIC -- C I I _. <br /> METER VALYE ____.___ _'___' _ —--—I --- <br /> METER No. TYPE: I !4 _ __ --� --�'- � <br /> —'i—__._ '_ <br /> METER80% C NCRETE SMALL LARGE ______I_ __ ___. <br /> �_--- <br /> �` AJ-J-�� _ — ' — I'_� — <br /> --L��..�.— '—I _. <br /> �-T-�- ---- -Z -� �- - <br /> �-�e������4�-2�. 3 „ —i - - — — <br /> � - ' I <br /> _ - �_I; ,_i <br /> � DATF IftSTALLED: �—I�'� I � OFF •�� SUB TOTAL <br /> CODC I —_ LABOH AND EOUIPMEN�fflENTAL --�HOUR—S RATF <br /> �il �'�I� �_ - - :�-����-�`L'�UJ.L.�"Cbl_�-�_� _-- -- <br /> � �-�- -- <br /> - ---- -_ <br /> —� --- ��c��7� --- --�.� ---- -- I -- <br /> _—_-._—__ _ a:+_Jl..t-.��-- I—S.O_- _-_ _—}-_ <br /> -.�-- - -���- - - i�- --- � - <br /> ---I-- -- ---- - _ --- I--�� -� <br /> TOTAL <br /> "(S: <br />