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SERVICE <br /> APPL. �! /: .lo CITY OF EVERETT OROER nI 4OH <br /> No. �fl�� T qppLICATION FOR WATER SER'210E ^�1?O � ,j5 �,7 <br /> DATE_—l/-�LZ- 7�9u-r <br /> � Fixeo � <br /> � DEPOSIT �-� N o ------ <br /> SERVICEcar�ooRc�cl--/-OF2v�-"'���U BLK..u,�n�T a� 'A�D. <br /> CONTRACTOR ----- <br /> OWNE <br /> FLAT —__-- <br /> INSTAL� METERED SERVICE— ---- / <br /> I HENEBY APPLY FOR TME USE OF WA7ER IN ACCORDANCE W�TH 7HE ���-- <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING eicrvw: % ---- � <br /> OR AS S�ME MAY BE HERE4FTEN CH�NGED. �p � AMOUNT <br /> MATERIALS $ IN.I t �N. i 2 IN. I _ICE � . . <br /> P�PE COPPER--GALV.•_STEEL___ I- I--. I — ' <br /> CORPORATION -_—- — -� I I �—� — <br /> � I <br /> CURB COCK OT -_- — I I , <br /> SERVICE BO% PLASTIC •- C 1_ _ _ - - <br /> METER VALVE .____ __ ___—_. ____I -- --_-=I _ __ ___ __-_ -_— __ <br /> METER No. ���__ __ - . TYPE:�IQ�G(SIJ� 'S — -- <br /> METER BOX CONCRETE SMALL LAPGE _ I ---- <br /> ---- �_-J-i_- _ , <br /> _ - -- - _, �_�- --- _ � <br /> � - <br /> , <br /> �_ _ <br /> ----- _ -_, �--�- - - <br /> I �ON <br /> ' � <br /> DATE INSTALLED: ll/' ��� <br /> OFF SUB TOTAL I <br /> � HOURS PATE <br /> GODE I LABOR ANO EOUIPMEN f PENTAI I <br /> � -- -- — /'9i1�,�JYYi%C��---II-- — - <br /> I - I — -- <br /> � Z7 _Q3_— -- — -- �__ _ _ <br /> ---- � — <br /> �I --_--- - -- --- --� _ <br /> �_ I TOTAL <br /> REMARKS: __ —__. — '.__-_ _____-'-_�_ <br />