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SERVICE � � Q 7 O <br /> nPPL ����� APPLICA'iiUN FOR SERVICE �J <br /> ORDER <br /> ''°' CITY nF EVERETT WATER DEPT. �7 � <br /> DATE��.-1 D.(�_ <br /> � C XED ��_ �O W. O. <br /> � � DEPO5IT c//X) No. <br /> -y�_.<_i_ �A 9 <br /> SERVICE (er�ooRcee)����L �/�/ " '� "' gLK. LOT(�.4�==-f�'-'�'-�l� <br /> � ���_��C� CONTRtiCTOR G �/ s. �L, I�� <br /> OWNER__ '�G�' �� T G V. <br /> �i FLAT <br /> � INSI'AL � M�4�l�U SERYICE <br /> l <br /> I HEREBY APPLY FOR THE USE OF W�TER IN ACCORDANCE WITH THE .�rC ` ./- �����' � <br /> ORDINANCES AND POLIQES OF THI: WATER DEPARTMENT NOW EY,ISTING BIGNED:X � �� - <br /> OR AS SAME MAY BE HEREAFTER CHANGEt). <br /> ji IDI. 1 IN. 2 IN. I PRICE AMOUNT <br /> MATEFIALB � � I ^ ' <br /> _ CO'�PER ��•GALV.--STEEL � �_ _I— �i I�� <br /> PIPE I — � <br /> CORPORATION if I cf3 <br /> _ � I � T / <br /> CUR� COCK •� _ � - I �I�9 <br /> SERVICE EJX PLASTIC •- �C 1) I I ._ L� <br /> METER VAWE _ --------- -- � <br /> METER No. ___. �_--.— TYPE: ___ I °� — -- � <br /> METER BOX CONCRETfL SMALL LARGE _ _.— <br /> o r � _ ' � IL� <br /> r� I � — � 2 1.5�0. <br /> i �I— <br /> — —�— — -- I <br /> -- — � � �� I� <br /> I � °N /� ¢�" <br /> , j SUB TOTAL <br /> DATE INSTALL�iJ: S�._ r _ O OFF <br /> ~ L�BOR AND[OUIPMENf RENTAL � I HOURS RATE <br /> ���E I I —y� �-�' I 0 I /�� <br /> —�-+--�' '��� �-- — — � I� �-_ <br /> I � v S_'�'' O i / <br /> I — — � .,!" <br /> ��, ; .��.�'---- =s_ - - <br /> - ----- -- I�--- -�� I!-- <br /> I — -- - � — 'i I <br /> _z-..T � -�I�' <br /> �- � ���r/ — — <br /> � � �=��_e�_ -- � <br /> _—��' .. —�� 351��- <br /> TpTAL <br /> :-�" � � � � - ' � - <br /> REMARKS: -.� . . . . � . ./ �- , .T . ... _ <br /> . , -. ___ —_. <br /> _, . — _ <br /> __- � <br /> � <br /> y� _ '_'___ . . <br /> � --J� ----- <br /> ._ - -. -:.-_-_. <br /> - <br /> - -. <br /> � <br />