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A�'P�-•�/�'�/ At"'LICA?ION FOR SERVICE SERVICE �° � 9 �a � <br /> No. � �� ORDER <br /> CITY OF EV��tETT WATER DEPT. y} <br /> �'F�IXED 1 DATE ✓ ^ �� �_�g�S� <br /> � DEPOSIT s / � � � C/ V W.O. <br /> No.—_ <br /> SERVICE (BYAODRESS)_l,i �QV_�S1_�"��� IC V�_OLK.�LOT_�_l.pp Ev/G�Ly�/�� <br /> A� / p / ��-�_ <br /> OWNER '—�'3 L��]__S,� SO/� ���. .____GONTRACTOR <br /> / MQ � <br /> INSTALL�—__METER[D SERVICE—___. __.__ <br /> I HEREBY APPLY FOR 7HE USE OF WA7ER IN ACCORDAhCE WI7H TNE �/�� � �' <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMEN7 NOW E%ISTING {, <br /> OR AS SAME MAY 9E HEFEAFTER CHANGED, sicNeo:7k—. � W <br /> MATERIFLS �.'� li�. 1 IN. I 2 IN, ' <br /> l_ I L PRICE � AMOUNT <br /> PIPE COPPER jGALV.•-STEEL � I <br /> CORPORATION _ __ � II I <br /> CUR9 COCK OT___ _ i _�I I <br /> SERVICE BOX PlASTIC_• C I _ I�_I— <br /> METER VALVE ___ ____________ _ — —_---- I <br /> METER No. ��� . ,_— _ TYPE: _��5 ��/ 6 _ _ I _ <br /> � ` �- ---L-- � - <br /> METER BOX ONCRETE: � <br /> MALL�LAfiGE � I <br /> / i I�I_ <br /> —� � �5 - l,• 7 s ".�: /���r�.�,i%= <br /> /J;FTEx- s/���.�il-- --�� � �I �— <br /> — , � , � — I --I�I— <br /> — �� o�i e_ ; �:��'• �o r ���_ % � /', � <br /> -)� NaaF LL'. ': — — <br /> z r-.•:ll' __�-o.�- .�yr'.<.7<!, I <br /> I I � � I <br /> ;:l ON � <br /> - � � hy �" � � �.J� f� -�. <br /> DATEINSTALLED: / OFF i SUB TOTAL <br /> Y '�. C� i:'S ❑ lLi. r�.� , <br /> CODE I . LABGR AND EQl11FMENT RENTAL � HOURS RATE <br /> � ��/���///�� �� /� <br /> .�^ ���/•r 1L�L/ _ _ _- � ��� ��--_� <br /> �/� ` /�� I .� II <br /> ' ✓ _ �L '.� ��_ � �-� I' I <br /> ' -:,J <br /> � -���;,�L_�C _ _— �—�-- --- I I <br /> � — — —� <br /> -- - - - - - - �--- -- -;- <br /> -- � <br /> ----- ------- - - -- -- -- -- - - -- - - � <br /> - --- <br /> _ � - ------ -- -- i-L-. <br /> _� ___ --, <br /> 70TAL ��� <br /> RFDAARKS: <br />