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APPL.�� Z�9' CITY OF EVERETT �ERVICE , � '. ' <br /> No. �� ORDER NO. , � ' ' > <br /> APPLICATION FOR WATER SEAVICE <br /> � FIXED � - ���---��� <br /> 0, <br /> � DFPOSIT s��J _'__ N�—_— -- <br /> SERVICE �ev wooneee) .�"O— T" `��� BLK..cy�L���^ ���c � � <br /> �� i <br /> OWNER—.!f✓1 ��_ ��� }�-L__ _ ___ _CONTRACTOR --_ <br /> — /�_ 'FLAT ! _ __ . . . . . __ . -- <br /> INSTAL� ERE� 5€Rv E—> �-- - -- . — — <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ,� <br /> ORDINANCES ANU PULIqES OF THE WATER DEPARTMENT NOW EXISTING � �—�- <br /> OR AS SAME MAY PE HERFAFTER CMANGED. sicH[o: X. . _�--__-.___— ._— .- --____._ <br /> - --_ M�TERIALS -- $ IN. 1 IN. I 1 IN, i��+__ I PP� AMOUNT <br /> PIF'E COPPER-- GALV.--STEEL I ; <br /> CORPORATION � I <br /> CURB COCK OT _I � <br /> SERVICE BOX PLASTIC — C I _ I ( _ <br /> METER VALVE <br /> _—_— — --�_ ___ _ <br /> METER ND. --7,�/_ C TYPE: __ _______ I . `s _ _ _ _ <br /> —f- Ye..�_ I — <br /> METER BOX CONCRETE SMALL LARGE <br /> __ _.—._ _ I_—_I ——._ _ <br /> __. —_ _- _ __.I_ _I — I <br /> _--. .—_— —�—I_�--�— _ _ — — <br /> I I I I I <br /> ON <br /> DATE INSTALLE�: / _ �� ��T � OFF SUB TOTAL <br /> 1/ J <br /> CODE I LABOR ANU EOUIPMENf RENTAL HOURS R.�TE <br /> '- I � 1 <br /> _� Ry� �!./'� � C-r(� _ ,- ,.2"� 1i-. - <br /> i�_i I <br /> � <br /> � - •!�%����3 �-- -- - -- <br /> � <br /> - - - - � - <br /> --�� - _-- - - --- ----�-- - - <br /> TOTAL <br /> REMARK�: � �' � �� <br /> " -- _ —q—_�—__-- _—'—___"— _—_. _ -____ _.. ._. — ----•_ <br /> O <br />