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APPL � - SERVICE I <br /> No. �/ ���� -CITY OF EVERETT ORDER NO. � <br /> APPLiCAT106J FOR WATER SERVIf.E �� <br /> � FIXED DATE_�/�__�g�" <br /> un <br /> � D�nOSIT S �0O W. O. <br /> SERVICE (ey�oonesel—/����J�� �_��/�C�!/i/���. BLK._�__LOT/�/cZADB?�N� <br /> OWNEfLI��• v�. . _ �y��� --%i _/CpNTFACTOR __— __ <br /> � L <br /> INSTALL� ETERED SERVICE__ <br /> I NEflCBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITli THE � / n <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING ���J� i/i/'�2ZL-"Y-`—`°'c6 <br /> OR AS SAME MAY BE HEHEAFTER CHANfiED. slcnEo: :: i�'�C (/�/ <br /> MATERIALS �(i IN. t IN. I 2 IN. ! I '—PqICE yf AMOUNT <br /> PIFE COPPE -- GALV.•- STEEL .3� —�� I <br /> _CORPORATION � I <br /> �CURB COCK -�C �-- _— .— —. I � —I�— — - — <br /> _ .•.��jt'`r!'t.�..i � —I -- <br /> SERVICE BOX _ PLASTIC •- C I�7T� <br /> MCTER YAWE <br /> ME?ER No. _---._ TYPE: .____' I 5S —___ — <br /> '_. —_'—.___ _ _I �_—'-- __ <br /> METER 60X CONCRETE SMALL LARGE I <br /> D 7, �-� --- - <br /> - --�- ---_�- - <br /> - _ -- � -�I�-- <br /> _ � I I I <br /> ON <br /> DA7E INS�fALLEO: /_/ > � � � I � OFF SU6 T07AL � <br /> (i 7 <br /> COOE � LABORANO EOUIPMENfRENTAL ' I HOURS FATE <br /> � l n .�iy I_S" _ <br /> —� ------- � _ ---`J� <br /> —� ----_��_���;----I - <br /> - --=�'y��-=r����r-- !�- --- -- <br /> -! - --- �-�-z�- -i z -- <br /> ='i - -- - �--- - <br /> -- ,-_ — — TOTAL � <br /> REMARKS: <br /> .` <br /> • - « <br />