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nP��. . �D /�g Ai'PLII..,TION FOR SE�2VICE <br />No. /� <br />;2�_�� ;� ;% CITY OF EVERETT WATER DEPT. <br />� FIXED <br />/ G l' <br />� OEPOSIT S (�'.'�,. _ <br />� ,� <br />SERVICE (eY A�uREssl �^///'� �-�fL��`C��—y�'J �� OLK. ,� <br />OWNFR-- CONTRACTO 'R / ; � <br />. 3� ' FLAT <br />I:�STAL�METF.RED-SERVICE <br />I HEREBY APPLY FOn THE USE CF WATER IN ACCORDANCE WITH THE � <br />ORDINANCES AND POLICIES JF THE IVATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER LHANGED. sl�r+eo:X � <br />NATERIALS ?j IN.I 1 IN. I 2 IN. <br />I /1__� <br />PIPiC COPPER -- GALV. •- STEEL GI I I <br />CORFORATION <br />CURD COCK OT <br />SEi2VICE BOX PLA5-1C -- C 1 <br />IdETER VALVE <br />METER No. TYPE: I gb <br />METER BOX CONCRETE SMALL LARGE <br />� �, � �-- <br />� 'T <br />SERVICE'v� H Z � <br />ORDER <br />Dr�TE �:.C" "� _19�'�L <br />W. O. <br />No._ _ <br />/ / / ' <br />� ��J po�)2�Lj- � L•%!l: �� <br />�:?'r_�[.1/� C_i''''� <br />I�:iC��1�1SC1�S� <br />� � ON f' <br />DATE WSTALLED: �/ �� /; �t � ppp � �� �'% r- SUO TOTAL � / <br />C�� <br />COOE I LABOF ANO E(1'JIPMENT RENTAL I HOURS RATG <br />-' � _.--_--_,- ___ �_ �� i J.-,� �� ,� �� <br />„ ; <br />��� � - <br />� � <br />-----,; , - <br />% � TOTAL <br />REMARKS: ,�� . � . •- I — --- � <br />f— t^ �L—V � l L—_ _... �1 �' <br />' � <br />._Lt:.— J'_ ____. __—'_ ""i �� � __' ,'.l ... ^� "__—_—' .'—_ _ ' <br />0 <br />