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qpp�, �DN O� . APPLICATION FOR SERVICE ORDER E N� � O 6 � <br /> N�.,/0 2 CITY OF EVERET7 WATER DEPT. �1 � � �j <br /> 2 J T . . DATEw='�-191�'/ <br /> �FIXED <br /> n / G� w.o. <br /> � DEPOSIT s L.:'i . ;,`� 7 No.—�_, _—� <br /> � /" /r� "//1 �..�1* ""'"" <br /> C/.AGl ij� /�-'L� '�L `"Q/ �"-l� BLK.�LOT�—ADD.�'lilif`L�t'�� - <br /> SERVICE/(/A Y ADDRE89)_-��� <br /> ' OWNER.< 'y��""�L �i� D.���� CONTRACTOR <br /> 1 .S i �i �.f . <br /> INSTAL� ��� METERED SERVICE � � � <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE j % ' f <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING 1 � .. C C.C..�'� -l. � <br /> OR AS SAME MAY BE HFPEAFTER LHANGED. eicNeo: X—.::�_��-- <br /> MATEHIAL6 3i �N. 1 IN. I 2 IN� I � PRICE AMOUNT <br /> PIPE CGOPPER-- GALV.--STEEL �I� � r �Ir,' . <br /> CORPORATION I I_��I—�i�— <br /> ' ��I <br /> CURB COCK �T I —_ <br /> � SERVICE BOX PLASTIC •- C I I I I <br /> METER VAWE � ---- --- � ��- <br /> I ��) <br /> METER No.� _ /O SA.� 7�/TYPE:��:✓_-lC�t _ 35 I __' <br /> METER BOX CONCRETE (SMALL� LARGE I _ i L- <br /> I _ I <br /> I_—I �I— <br /> L.�I — <br /> I <br /> I I I I <br /> � ON <br /> SUB TOTAL �� �'j <br /> DATE INSTALLED: �, � �,, ,f � �FF �-�;,;/ _ <br /> COOE I LABOP AND EO�IPMEN-PENTAL I HOURS RATE <br /> � .f ��_ <� ' , ' ` �C_ <br /> /� -� � �I I <br /> i - '-- � �'� - <br /> `'--�� � I� � <br /> - � i �� ,�i � i � <br /> '� '� -- � - -- --- I--- � <br /> � ------- I <br /> � 87I77 <br /> TOTAL i <br /> OREMARKS: __ _ - � - <br /> d <br /> �_ <br /> OJ —_ --------- --- — --- --— -- <br />