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APPL. ��I j�� CITY OF EVERETT SERVICE <br /> No. qppLICATION FOR WATER SERVICE ORDER �10 5 9 0 2 <br /> IV / �p <br /> OATE__-ILJ_��8 �z^ <br /> !�) FIXED <br /> a <br /> � DEPOSIT ��� No�� - <br /> , /� /� �� � R�pl a�-o�- �f�a 8����6 <br /> SERVICE (lYADDNE�Q 9���—���f-J-l�u-�+-�' " BLK._ LOT--ADD.-�.�LC1-i� <br /> �t✓ � <br /> 11WNE �e�n--��IUA-�'—CONTRAGTOR -- � <br /> FLAT � <br /> INSiA!_L��- ED SERVICE—__-- _-... ;/��� . <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE W17H THE � � <br /> ORDINANCES AND POLICIES OF 7ME WATER DEPAP7MENT NOW E%ISTING <br /> OR AS SAME MAY BE HEREAFTER CH�NGEO. 81�rvEo: % _ - <br /> MHTERUlS �i IN. I IIJ. � 2 IN. I PHICE AMOIINT ' <br /> IPE �aS/ ��- COPPER•-GALV.-•STEEL 3� �___ _ _ . <br /> CORPORATION H�StlU� - __ � -�—I — . �I <br /> CURB COCK OT �'Si� Fj'�II� 'jJ3W __ I � �_ _ , <br /> SERVICE BO% PLASTIC •• C 1 I _ <br /> METER VALVE - ---- -- <br /> METER No. _ -__ . -�TYPE: "_' I _��__ __ __ _— _- <br /> METER dOX CONCRETE OS�/CSMALL LARGE ,__ _ _ <br /> (o "Rm.�ac Si+-uice Sn �le u.��"Ta�o !w�-7.so / _� _I — <br /> FortiL OT L _� � — '— -- — <br /> Fv�l STL � —� - - — <br /> H�su�3 ---- 3 �--- �— <br /> � !0 S�l; r�ruI %�"e -- 32 _I �— - <br /> (�wa r-�'�V Be'wul � / � � <br /> [�(� � ON <br /> DATE INSTALLED: q��5 �(J(J � OFF SUB TOTAL <br /> COOE I LABOR ANDEOUIPMENfRENTAL I HOURS RATE <br /> � s `rex _I 6 _ <br /> � ---- -- C'. �' z�tin y unl � — — <br /> ; Z� 3v I !o <br /> ���S _ -�_b— -- <br /> - — 3�05--� � - -- — <br /> � -------- --- — �-- — <br /> I <br /> TOTAL <br /> REMARKS: - <br />