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� � i� - � ' <br />AP SERVICE �� �.�; ,. <br />No. /J � 11 CITY OF EVE�ETT ORDER NO. <br />�� APPLICATI(,�N FOR WA �ER SERVICE �} �� <br />DATE_� � `�—� B-=L— <br />�FIXEO <br />—7 00 W.O. <br />� DEPOSIT f� ! �'_ No.— <br />� �� �C��N7P�C �v� BLK.. LOT�� ADDU��ZU KA <br />SERVIGE (�Y AODeE�q -- 7� <br />_..._.__ �7SLL(t� �K.hTD/.�C� _ _CONTRACTOR -- <br />1• <br />INSTAL�— <br />I HEREBY �PPLY <br />O^nC:1:nNCES AND <br />OR AS S�ME M11Y <br />PIPE <br />CORPORATION <br />CURB GOCK <br />SERVICE BO% <br />METER VALVE <br />METERED SERVIC --- <br />LIC ES OF TNE W�TER DEPARTMENT NOWWEX6 ING � <br />[ NEREAFTER CHIINGED. eicneo: <br />MATERIAlS Vi IN. �'� 2 �N. <br />(�/ % <br />_�_COPPER • GALV. •• STEEL <br />� <br />GT — — — _—�— <br />PLASTIC -- C I <br />METER No. `�� j� q�--� TVPE: C�.y /�^ii I'S <br />_ --/�,�____� � <br />METER BCX GONCAETEDI4(!/_���LL LARG� <br />%l)c`��� T�IH/)i.--. <br />� � � <br />I �� ON <br />DATE INSTALLED: !�� ; , �i �- � OFF <br />COOE I LABOR �NDEOUIPMEN(4ENTAL <br />I ---- " . ..- -- -- � "�_ �_—� L <br />1=- — <br />— I _ _ -. } �i r r' <br />-- L: .': / / / <br />� <br />� -- — <br />----- --- �� x i o ' <br />_ --- : 5���� - � -; <br />i ---- -- --- -- _----JZ <br />---- <br />_. <br />---,-- - <br />REMARKS: —�—_____. �. . _._ _ - __. _ __ _ _ — _— _� _— _ —._ <br />PRIGE <br />SUB T�TAL <br />MOURS I RATE <br />7 <br />AMOUNT <br />