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AF'�'L• � �FJ r-�-� CITY OF EVERETT seHvicE , � � <br /> No. G` -" ORDER NO. � <br /> qY°; iCATION FOR WATER SERVICE /�� • i <br /> ontr_`�w�-��9 —ie�'7� <br /> � FIXED ,�O <br /> n W. O.r <br /> � DF.PGSIT y �(l _ No.---'— <br /> %�/ y [�ty-�' N /v�BLK.'__LOT�`a Ao�� . . �/ <br /> � [i <br /> SERVICE (eY A/DO�g Ece)-� �J � � /��l��� � d <br /> OWNER=_.s.r-���i'-'C'/�--- CONTRACTOR-L�=.L/--�-.�"_�.' <br /> ��� �/� <br /> INSTALI=.1_.`�-V-METERED SERVICE.--- - --- -- - ----- // <br /> I HEREPY APPLY FOR THE USE OF WATEH IN ACCORDANCE WITH THE /�'�+ /�(/�. <br /> ONDIN�dICES AND POLIQES OF THE WATEH �EPANTMENT NOW EXISTING gicrvco: X��'-'='�<'- `�—' -` � - <br /> OR AS SFME MAY 6E HENEAfTER CHANGED. <br /> MqTEH�R�S Yi IN. 1 IN. I 21N. I I I PRICE AMOUNT <br /> I I <br /> p�pE — __ COPPER_GALV.__STEEL___— �I— �I _ <br /> � <br /> CORPORATION -- ' <br /> CURP COCK ��T _I I __ _ <br /> SERVICE BOX PLASTIC -- C 1 I I_ _. ' <br /> METER VALVE '—__-_-_' _— __-'_..I___- __.- _ _'- . <br /> METER No. _-_-_ _._ . __ -TYPE:-- _- . .-I `S _ __I'_ ._ -- -_ <br /> METER BOX CONCRETE _ SMALL__.LARGE �_ __ _' _.. _ -__. <br /> I —L�-I�_-- __ - <br /> _ -_—_- I �—_ _'__ _ <br /> ------ il --1--;- - ° <br /> � ; <br /> -- -- - - ---�� --�-�- - <br /> �ON <br /> DATE INSTALLED: �7 ( I � OFF SUB TOTAL �_" <br /> ��'�i+�'A �I r,r <br /> COOE <br /> I LABOR �HO EOUIPMENtRENTAL MOUFS R>TE � <br /> r� . <br /> -----5,��_! !_/� -.- - = <br /> -� ------ - - � ' <br /> � ' - <br /> __ (C.V�totJ,"e 'J--- -- -- <br /> -�i - # �-�__ / ,� _ -- <br /> -- ----��a�� �:_ _ - -- --- - — _ <br /> '� - - — __ - <br /> - -. —_ - ----- — — — -- -- — - _ <br /> -- TOTAL ' <br /> REMARKS: __ _-_ _ ---" .. . .-. <br />