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�P�'�-• " D ��� APPLICATION FOR SERVICE SERVICE y� 9 3 C <br /> N o. <br /> ORDER - <br /> �'l�"��� CITY OF EVERETT WA7ER DEPT, DAT /,���,� �..�_19i L <br /> FIXED E( C � <br /> � <br /> � DEP[)SIT S ����;���!�= W.O. <br /> � No. <br /> � /'l�^ i /� J1.f1.f`•-�n�_ <br /> SERVICE (BY AOpRE55)�� � ���� CL-'L":-��7 �A31 i'j,_���� /� C <br /> .� — �LK. _LOT ADD.�__ <br /> 7 !� / <br /> OWNER . / L � —CONTRACT��L!'.�" �`1�>�Yt�-.�� L-�'7Z0�1-. <br /> ��LAT <br /> INSTALL • .ypr#�O�'�R�i�`E � <br /> I HEREBY APPLY FOR TNE USE OF WATER IN ACCORUANCE WITH THE / <br /> ORDINANCES ANO POUCIES OF THE WA7F.R CEPARTMENT NOW EXISTING r ) � �_ �'/� / h L j ,� <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. siaNe�• )�I _��` <br /> MATEqIAL6 ?i IN.� 1` IN. I Z �N• �s PftIC[ AM011NT <br /> �-. <br /> P�PE �OPPcR-- GALV.-• STEEL _y� _ I I — ��/ <br /> L_ ��� {VO <br /> CORPORATION � _' _�_ II �I� <br /> (CURB COCK� (pT � I I I I_ �I �� <br /> { <br /> SERVICE BOX �PLASTIC -• C 1 I �— II �/I/i� <br /> � �i <br /> METER VALVE <br /> METER No. _ TYPE: I .!5 — — — �- <br /> METER BOX CONCRETE SMALL LARGE I <br /> �> 7� - 4i,_ " � �- - - - �3� <br /> '' ' -; - --{ �- <br /> - �- -- �� <br /> --- - � , � -. <br /> -- � -i � - �--�-- <br /> � ON � <br /> DATE INSTALLED: �{ . A �J / I Q,' OFF �!� SUB TOTAL �Q � <br /> - r'�Lt.a., �_ .! . � /� - t <br /> —COOH I � LABOR AND EOUIPMENiR[NTAL I MOURS RATE � <br /> ' � ^ �—__ — . �—T— _'—�� <br /> -_-�-����Y��� - i �' _ . . -!I_ 'J I <br /> I -- <br /> -- --- ---- -- - --- -�---- ----� <br /> -- ----- ----- i �I I <br /> -� - --- - I --li--- I <br /> ��� . _ __ TOTAL �� ��, � <br /> R[MARKS: <br /> _-- _- _._ <br /> _. __.—__. _. <br /> . .- .. . .- _ _ ___.. . <br /> ��I (� .l / . . __ _ . _ . _ _ _ ._ _'- __-_ _ - _. <br /> _ . _' _. '. '_' _ _ . __ . . _ �j <br />