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� wrr���Z�� APPLICATION FOR SERVICE SERVIGE N� 2081 <br /> No. L ORDER <br /> CITY OF EVERETT WATER DEPT. � <br /> DATE I� � —19�, <br /> �FIXEp � <br /> � DEP091T s ���Z ryo0. \ <br /> ' SERVICE (er ADnREss) � CU/.I L�U� BLK��LOT�J� /_ADD�I�.J' <br /> � OWNER�� ��l_JlJ/'-�?-�C��N CONTRACTOR — — <br /> � FLAT <br /> I INSTAL�ME�'eAlD SERVIGE - <br /> � I HEREBY APPLY FOR THE IISE OF WATER IN ACCORDANCE WIiH THE � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> I OR AS SAME MAY BE HEREAFTER CHANGED. slcrveo: —-- - <br /> �- MATERIALS �' IN. 1 IN. � 2 IN. � I L PRICE AMOUNT <br /> i .� ' � ..\ I� � � "— <br /> plpE� / y�u> COPPER•-GALV.•-STEEL 1' _ <br /> CO�_____� . — '� � ��r"' _ i � _ <br /> ' CURB GOCK OT � I —� _i <br /> � _ _I — <br /> � SERVICE BOX PLASTIC » C I � I _ I_ , <br /> � METER VAWE ___ _- <br /> METE� TYPE: -..-___ I •G __ _— -- _ — ——_ <br /> f __. —_ . __ _..__—__ __. — — <br /> LMETER BOX CONCRETE SMALL LARGE ___ i __ __ _ <br /> i '.rl , � , / � � _ . <br /> � .� 1 � j` � ..l ' _ i _ . <br /> �t I J�__ _ <br /> I 4v , � l � __ � _ __ _ <br /> � '""1� ,.�. . � - � � —I �— . <br /> __'_I' � II_ '—_ _ <br /> � <br /> I - �� � I -- - -- <br /> I <br /> ON <br /> I DATE INSTALLED: ' �i 1 ���� � I � OFF SUO TOTAL <br /> � CODE I L�ODR AND EQUIPMEN f RCNTAL I HOURS RATE <br /> ��� — — –� 1.� ` /� __I_— . <br /> I '. � . ..,.1!�� I _' <br /> I ':=i.tf' � '- -- -- <br /> i-_' -- . ; � r 1- - - --- - <br /> I I '`.f 4 '� yZ'=1 I -- - <br /> � i ------� I� -- - --- <br /> I . ------ ---- -.—,__. <br /> —I - —- - <br /> I ' <br /> i— <br /> TOTAL <br /> I <br /> i REMARKS: ______. <br />