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SERVICE I <br /> NOPL���� � CITY OF EVERETT ORDER NQ . � . <br /> " � ?PPLICATION FOR WATtR SERVICE � �q �J <br /> � FIXtD DATE���—��L_19�� <br /> Op <br /> oerosir s � w. o. <br /> ❑ �— Na. — <br /> SERVICE Iav wona[as)—/� "�v � 'u-t'�-+�'�BLK._ LOT�C� y/nD�.����c.•`^`a._ <br /> ��c-� �/ ' ,.,rl <br /> � �/ � �_� <br /> OWNER �� L�.6�-�=�1�-�d^ - -CONTRACTOR���G./ � � , <br /> F � <br /> INS7AL�'�—��.� �TERED SERVICE _. .—�--- --- - ----- . � <br /> I HEREBY APPLY FOR ZTfE-VSE'�O�W�ITERlIV ACCORDANCE WITH THE � �/-' <br /> ORDINANCES AND POLICIES OF THE WA7ER [EPARTMEN7 NOW E%IS71NG J'5�� <br /> OR AS SAME MAY BE MEREAFTER CHANGEP eicHeo: X ;.�'�.1!�i`� — �' <br /> MATrRIAlS li IN. 1 1 . � 2 I I PRICE AMOIiNT <br /> PIPE COPPER -_FiALV._ - STEEL ��� _ <br /> CGRPORATION �_���_ __ <br /> CURB COCK OT I I <br /> SERVICE BOX PLASTIC -- C 1 I <br /> M1iETER VALVE �Q�D __ _- _- � --.�-. � -- _ -- <br /> METER No. �Q 9_ _ TYPE:�jiN��/�� I '� _l_� I <br /> METER BOX CONCRETE �Jj� , SMALL LARGE _ __II _I__ <br /> _ '�— __� I <br /> �c. — �_T.4��-S'.4�r�c_r__ . _ —' � I <br /> !x• D�`f�ft[i — ---- --I' . —�� — <br /> .�' G'./.N�/r.:it .Ti"X ��' 13 -- <br /> '.,G�`C�_Y_.�� c-E --- - ---I ! <br /> !Q i• y°� ---- -- . — — — -- �� --� -- —— <br /> I I i ! ; <br /> rp ON <br /> DATE INSTALLEO: �^`� � ry � OFF SUB 'lOTAL <br /> O <br /> COOE j LABOR ANDEqUIPMENfRENTAL � HOURS RM1TE <br /> I ------ �- ��r�--� 7 <br /> --I - —°��o ftA� s'oJll '� 7 -- <br /> � �p2—�� — –��-- --- <br /> � � � — -- — <br /> -i _�-�'-���-1���---�'�_�°u--- I�- <br /> -i - ��--- <br /> TOTAL I � <br /> REMARKS: .^ ., �// :'� � <br /> _.�._._ L_''__ _ . . _ _ __- ._-_ _ ..___ ___- —__ —_—�_ <br />