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i <br /> A� P T� ��7 �( L�� CITY u'F EVERETT SERVICE <br /> No. � L�Y ORDER NO. <br /> •1PPUCATION F�R WATER SERVICC- <br /> O�FIXED DATE_��%-:�_ _ ___�g19 <br /> � DEPOSITs 2�J�`� yy. 0. <br /> — No._ <br /> SERVICE (er wooReBB)`�(f—_���=- ��._ _BLK._ LO7___qDD._ <br /> � — <br /> OWNER��!L=- � jk='��2.��tJ ��5�_�_CONTRACTOR____ ____________ <br /> - J FLA <br /> ) _ <br /> INSTALL_�/it— ERED SERVICE—_— _ �_,,((��C <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORUANCE WITH THE C�_` \\��F\'� l\ \ �\�\\"�MiVV- <br /> ORDINANCES AN� POLICIES OF THE WA7ER DEPAflTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicNco: X� ��� � <br /> MATEHIALS ;i IN. � IN. i 2 IN. I PRICE � AMOU' <br /> PIPE _______ COPPER_GALV._ STEEL �Ii � '' I ' <br /> CORPORATION __— _ — —�---��—__i-- � -- - — <br /> CURB rOCK OT � ' I I I <br /> SERVICE BOX __ � PLAST}C -- C 1 ' I � <br /> r ; <br /> _ '— — — — - _— <br /> METER VAWc I I <br /> — .____ '_ _. ...____"—_—_' . .___ —.___ ---!_—'_—._I _ .— -- _ _._. _ <br /> NETER N.. TYPE: I �; I i <br /> —___-- <br /> __' _ —.... .._ _.__._. .___ . ._. . _—' —_��i . .. _-- -- __ ' <br /> METER BOX CONCRETE SMALL LARGE I � <br /> _--.— _--_ —_ . _--I_— <br /> _ _ __ <br /> — _ __ '— <br /> -- __ ' —_"_ __ .__--_'I_ --___—' <br /> —_— _ '—I _'_ __— --__II --_ <br /> � I <br /> ___ .— — —I I__ _ _ <br /> —_'___. --__—__—_'___--____ I— —I_— — <br /> ! I � i <br /> n �N <br /> DATE INSTALLED: / ,;�' - ��;� � OFF SUB TOTAL <br /> COOE LABOR ANDEOUIPMENfRENTAL HOUFS RAT[ <br /> -_ _-." __-__ ��_ I - <br /> _ __I __" ____ <br /> -_ ___-__--___ -.'. _-__-__--`_ _ � --�_-._ .. _...__-- --_ - -___ <br /> I <br /> _.. _ - _ -"___ ._ __ . _ _. -__.___ <br /> , � I . �._ ._ . .-- ___ .. <br /> - - -�/ Z_c�'- _ �j--- , ,, —i— <br /> -- -- ---- <br /> --- �- <br /> ---- — ---- <br /> - __ - --- --- _--- - -- <br /> , i --- -- <br /> rora� <br /> REMARKS: .. <br />