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APPL. "7/_�C 7 CITY OF EVERETT SERVICE <br /> ORUER �,I <br /> No. ���� qppLICATIO.V FOR WATER SERVICE �;V�r'LL�BY�. <br /> DATE--�-y7r <br /> � FIXED <br /> G� W.O. <br /> , � DEPOSIT s��__ Na. `- — <br /> I /J „en i ltu�r ff� <br /> SERVICE (BY AOGR¢BB)—(X�-�y��-�"-`—BLK._ LOT-IS�2--_ADD.-��-IJS--+�5 <br /> ��WNFR /�.{�}l �--4.��C-��-GC-+— CONTRACTOR--� --- <br /> ll � r��� .�� <br /> INSTAL �ERV�CE---- /� - <br /> 1 HFflEBY APPI.Y FOR THE iISE OF NATER IN ACCOflDANCE WITH THE /�G// <br /> OROINANCES GND POLICIES OF THE WATER DEPpft1MENT NOW E%ISTING s�aHeo: X -- - �<-.-�--- -- --- <br /> OR AS ShME �MAY BE HEFEAFTEP CHANGED. ' - <br /> MATENIALS �/i IN. 1 I{: � 2 IN. '�-I� �RICE AMOUNT <br /> PIPE COPPER--UALV.-- STEEL _ I .. I_. — <br /> CORPORATION . -�- -��- ��--- � - — <br /> CUR6 COCK OT _ � �-- � — <br /> SERVIf.E BOX PLASTIC •� C 1 - __� __I I_ —� <br /> METER VAWE _ _ -"-�- <br /> MLfER No. _,_.. _ TYPE' __-_-_I_-�' _—'I —_— _-- _ '_- — _ <br /> ME7ER BOX CONCFiETE SMALL LARGE _ ___ <br /> .— '_ __'__-- _� � <br /> I _�_�__ _ <br /> -- ----- - j- �- -- - <br /> --i �- - <br /> -- - - � � <br /> -. _�-�--�-- <br /> - -- - � � �-I <br /> DATEINSTALLED: OFF SUB TOTAL <br /> ��� �/ �/ I � <br /> CODE I LABOR AND EOUIPMENf RENTAL � nATE <br /> � _ /:n�,P»c��.P __— — <br /> I — — — <br /> � -- -- I--- --- — <br /> � oaa���3:_ -- �-- -- — <br /> _�, _ ---- _ ----T--- - <br /> i <br /> — TOTAL <br /> REMARKS: -- ._.___"._- __- .- __ -'--_'___ _—--__.- _-�. <br />