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�- .N�?u• AFPUCaTION FOR SERVICE SERVICE �d � � ;j ;j <br /> J���u �,� i^ �.J.�� �� ORDER <br /> CITY OF EVERETT WATER DEPT. ✓j�/ <br /> � FIXED �AT�- �Z_19�L <br /> O �S°�1 � �T sar��'y5. °�' N O. � <br /> SERVICE (BY ADOPE861—_1Y___I�� � �• �`-' ' �`� �� �� <br /> t ,..� L ��7 . 1-�BLK. � LOT�—ADD.�J�11s/o.t, I <br /> OWNER�V/��L'` .1��_S�M S�/N __CONTRACTOR__ <br /> INSTAL �� /4 LAERED SERVICE (�'w��� <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOROANCE WITH T4E <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NO\V EXISTING <br /> OR AS SAME MAY BE HERF.AFTER CHANGED. si�NEo: X_ <br /> MATERIALS b� 1Y, t IN. � 2 IN. I I PRICE AMOUNT <br /> P�PE COPPER GALV.•-STEEL � I I I <br /> CORPORATION —li I <br /> CURB GOCK OT _� j I I II I <br /> SERVIGE t70X PLASTIC • C 1 '� � I - II I _ <br /> METER VAI_VE __ � � , I <br /> 1AETER No. .__ _ TYPE: I 36 -- -- -- — ---' �_-__ <br /> METER BOX CONCRETE SMALL LARGE � � <br /> {� -_ I I <br /> ___/.�r L� L��i�� �/.� I _� � I <br /> �---� � '— <br /> —7�•,r-� -�- —i _ i- �i_ <br /> — ��_ r._�� �— �� <br /> I I f -I <br /> � I <br /> � GN l � <br /> DATE I�'STALLE�: /n �� �i/ L, �F��� �l'�� /� SUB TOTAL I <br /> � Y iC <br /> LOpE I LABOR AND EOUIPMENT RENTqL I MOURS R.OTE <br /> -I / _ � <br /> — �IiA /�� —_ I <br /> � � ' �7� �� �,�J�� <br /> -- � ��� --- — �� � " ' <br /> U —% �a_ I' � <br /> --- — ��'_ -�--,. <br /> I�_ " ��lL— —-- -- ,,I � <br /> —� ��'–�- -- ��_/��_ _._' I <br /> i - ------ _r�------ - i'� I <br /> _ � --- -(�- — �-� - -- �_— - - � 'ii--- <br /> - �l , � � � <br /> TOTAL i� <br /> RENARKS C�.I/�i !i/J�f/3 � �L ! / /�'CL /��� _ � � '1C <br /> � .— � .-._.�lL '.t_ . . �. l-.L. . . <br /> l 1 <br /> --_�/.�_1�i��E'_ _ T�' / �n._�c� t_ L✓ ��'/i: �'� -� � — � = = -- <br /> % r — —.. <br />