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A��L' �✓ / Q 7 ARPLICATION FOR SERVICE SERVICE {�� 4 9 O <br />N�. ��� I�f7 CITY OF EVERETT WATER DEPT. ORDER <br />� FIXED � �- �7�1�!_���/ <br />DATF <br />� DEPOSIT s �(� � ��- W. O. <br />No. <br />// ([`� ( <br />SERVICE (eY �CnREee)�7 2 3 �� `-' r�'"'U <�-\ .pLK. LOT ADD. <br />! � <br />OW VER �� ii- 1�� o� �... P H Fi /�� <br />CONTRACTOR��.�..�'-rL�� - C8 rV� / i�t...' <br />^> . '� w� er �� <br />INSTAI.L _�� <br />1 HERi9Y APPLY� <br />ORDINANrES AND <br />OR AS SqME MAY <br />PIPE <br />CORPORATION <br />.'�CURB COCK, <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METHR BOX <br />R THE USE OF WATER IN ACCORDANCE WITH THE F' <br />7LIWE5 OF THE WATER DEPAqI'MENT NOV1 EXISTING �fji� `� ,� �{y--- <br />E HEREAFTER CHANGED. sicHEp:X_fLa,l -� �6<-•,.a, __ <br />MATEq1AL9 � IN. 1 IN. I 2 IH• I I^_ PRICE AMOUNT <br />�COPPER -- GALV. - STEEL `f ) I—� — � 3a I 3 <br />/ I � 3 ,S <br />OT ..'� PLASTIC� " C I I � --�—�I � i/I�� <br />CONCRET6 <br />TYPE: <br />SMALL LA�GE <br />ib <br />� ON <br />DATE INSTALLED: : : ,� � ( � � OFIT <br />CODE I ( LA�OR AND EQUIPI :NT RENTAL <br />��_I�/1 . <br />� %> , : �, <br />----� — <br />--;-- -- <br />� <br />�!> - <br />REMARKS: <br />t� (� < � , <br />— . '.f-- 1�" c.------ <br />SUB TOTAL <br />HOURS RAT[ <br />y <br />,, <br />�� , <br />=— --- <br />TOTAL <br />