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APPL. �•j � V�% CITY OF EVERETT SERVICE , <br />No. / ORDER NO. � <br />APPUCAT�ON FOR WAIER SERVICE DA �i��' — <br />�e'�� �'- � s.�'� <br />� FIXED � � <br />��— W.O. <br />� OEPO5IT s n No.—._----� — <br />SERVIGE lB� �oDREee)�O/ �JD�' �==��"-"'--��BLK._' _' __10T�'^�•���. � <br />/C7� CONTRACTOR_---- -- <br />oWNER— ' �'� - ' <br />n <br />INSTAL� � ETEREO �VIGE—__ . --- — --�'---- <br />1 HEREBY APPLY FOR THE 115E OF WATER IN ACCOPDANCE WITN THE �y�\.{� " '� ' <br />ORDINANCES ANO POLICIES OF THE W�TER �EPARLMENT NOW E%ISTING `��ti {J�i�� � _ <br />Ofl AS AME HAY OE HENEAFTER CHANGED elcr�Eo:% -- •� )� -- <br />MATERIALS yi IN. 1 IN. � 2 IN. I PRI AMOUNT <br />PIPE _ _' COPPER -- GALV... STEEL __ �_ __ _I �� <br />�l I <br />CORPORATION <br />CURB COCK <br />SERVIl:E BOX <br />METER VALVE <br />METER No _ <br />METER BOX <br />OT <br />PLASTIC -- C I _ _ __ <br />__-___--_TYPE: . . I Y <br />CONCRETE SMALL LARG�_ <br />/ , / �ON <br />/p la <br />DATE INSTALLED: �� /�/ �7 � OFF <br />fOUE � L�BOP AND EOUIPMEN! RENTAL <br />--- � � ! �1tGt'� --- -- — <br />I �l ��6itLC. �.1'��---- �— �- <br />-- _.._ -- -- <br />- -�I,_Y -----._ -- <br />.� -- �� �� �-� <br />REMARKS: <br />.'.__ .�.- -- <br />___ _. _.I._ _—.- <br />1 ._��� _ _' _ _ <br />�� /�_ ���, SUB TOTAL <br />HOl1R5 RATE <br />f� <br />--�-L � - <br />_. --- -- I�— ---- <br />I l ____ <br />TOTAL <br />C <br />� <br />r. <br />� � <br />N _. <br />r <br />O <br />C c' <br />mr <br />c <br />-a c <br />o: <br />r <br />-i:' <br />x- <br />m <br />�. <br />D - <br />r =: <br />-� v <br />� <br />O : <br />�l ' <br />--I i' <br />S <br />m �- <br />0 <br />� <br />o r- <br />� r <br />c v <br />3 c <br />m <br />z_ � <br />--1 � <br />f <br />� <br />