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I <br /> p�pp� �/I �/� APPLICATION FOR SERVICE SERVICE R° 18 41 <br /> No. fJ ORDER <br /> CITY OF EVERETT WATER DEPT. �/ <br /> DATE_~ � /-19_� <br /> IXED `� <br /> � DEPOSIT s �/ � N� <br /> I7 �A'LL�I'y <br /> $ERVICE lerAonRess) � ��OS �N�QL�/FiL� lJL�Q OLK. L`OT���ADD.— V � ��— <br /> OWNER_G2 oNi� �SS CONTRACTOR `��-yj� -- — <br /> FLAT <br /> INSTAL��� SERVICF <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ��� <br /> ORDINANCES AND POLICIES OF TNE WATER �EPARTMENT NOW E%ISTING eicNEo: X <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> AIATERIAL6 �i IN. t IN• I 'L IN. I � P E AMOUNT <br /> p�pE COPPER•-GALV.-STEEL I_ _ _ _ I <br /> CORPORATION ___ — <br /> I I <br /> CURB COCK OT I I I— <br /> _3ERVICE BOX PLASTIG •- C I _I �_ I I <br /> METER VALVE _._ --—— — —j-- <br /> METER No. TYPE: I `� __ _ _ � - <br /> METER BOX CONCRETE SMALL LARGE _ _ % <br /> / � � G �-t r� _ <br /> � -l 8 l_T'. c u .�6 h o x t�� : _I — ��---�— <br /> � �— <br /> — � - - — �—. <br /> I � — <br /> I <br /> N IDATE INSTALLED: / 3 �— 7y � OFF SUB TOTAL <br /> CODE � LAdOR ANDEOUIPMENtRENTAL I HOURS RATE <br /> � S �CkL/ec �' I o`2 <br /> , �--- -�-� �--�- <br /> � ,.L ., F/ �j — <br /> i � � ► r I�_ �t <br /> � II I <br /> -- —� � % <br /> --I - --- �- ��r---�-- <br /> � I I TOTAL ,� <br /> REMARI<S: J/^ � <br /> W �� <br /> _' _ _�___/_ . . ._______.__ _'—'—'_'"__'_'__'__'._—_—__— <br />