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APPL.�.9 �I � APPLICATION FOR SERVICE SERVICE j�J� 2 $ 3 <br /> N�• / ORDER <br /> S 7.3 CITY OF EVERETT WATER DEPT. <br /> � FIXED t= OATE y� _�-��IB�� <br /> � DEPO5IT SIO � W. O. <br /> No.--__ _ _' <br /> SERVICE 1ev�ooneae)�T � � � � __��/��__. _ __plK._-____LOT ADD. <br /> OWNER___l`0���Tf Q' � __ __.__CONTRACTOR___. <br /> (`_--__ <br /> 4'L.R' <br /> INSTALL ��t� METERED SERVICE___ .-- __ .- _-_ ._. <br /> I HEFEBY APPLY FOrl THE I15E OF WATER IN ACCORDANCE WIiH THE ��`���{{{ . / [//� <br /> ORDINANCES AND POLIGES OF THE WATER UEPARTMENT NON' EXISTING �,�� '/� ,Y-�yy��� - - - <br /> OR AS SAME MAY BE NENEAFTER CHANGED. s�cNco: X_- _— - Wi'Stq 1C� <br /> �IATERIAL^u _ � 1i IN.� 1 IN. � 2 IN. � I PRICE AMOUNT <br /> PIPE _!_COPf ER - GALV.-STEEL _ ��� I •�I I�.V p <br /> CORPORATION ___ _ __ � I i�' � �-� <br /> i. <br /> CURB COCK OT_ I I�I_ <br /> SERVICE BOX PLASTIC - C I I I <br /> METEi VALVE `� � � <br /> _ --__- �}�A .., �! ��, <br /> ME';E� No.,i J •.� rJ'/r,- ; � � TYP .��_ I', 'f) — -- �-,�J <br /> METEIt UOX CONCRETEJ �MALL LFRGE � <br /> i� <br /> -__ . . , i.�[) <br /> � , � _ ,y, <br /> � , �-�-�= <br /> - �i_ <br /> � _ <br /> ---- -;-, i �� <br /> � �_ <br /> ❑ �N �I <br /> DATE INS7ALLED� ,� � OFF � SUB TOTAL II �/� /li; <br /> vl. <br /> CODE I LADOp At1D EOl11PMENi HCNTAL I HOUR4 RATE <br /> I I � <br /> —_ __'— 1i� ,.�J`' �!sy_ <br /> � II ' <br /> -- I • I ��.—.�II—�s:__�- <br /> � <br /> I I —�; i <br /> i I �i � -- <br /> ,Ii <br /> -- -------- ------- -- <br /> _ ' %' , , r <br /> -- r.�--------- -- - - - - -- -- - --` - _--- -31�� <br /> I '� ' <br /> TOTAL �� <br /> v <br /> REMAHKS: � <br /> _-- _____-____ <br /> ___ '__—.--'-__'_____ -'_ <br /> C _ . <br /> _ _ _ . . . . _ . . .. .. . ._ _–__G_ _. <br />