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2../ �'2�' <br /> NoPL �. � �Z� � � APPI.(CATION POR SERVICE SERVICE No Zg�g <br /> ORDER <br /> CITb' OF EVERETT WATER DEPT. / <br /> � FIXED DATE_l—L1/�,U ____�g•� <br /> /� f� Ll�i <br /> � � DEPOSIT 5 Li7 J� � �7.O. <br /> No. <br /> ; SERVICE (BV AD�RE96���/��L�t�J� BLK.�31 _LOT3�_3�ADD�/� <br /> OWNER�JG4d/.J _�����`�)(�,1'./_ ____CONTRACTOR_—_____ <br /> .� � er __ <br /> INSTAL� � �ETERED S RE VIC� __ <br /> I I HEREBY APPLY FOR THE USE OF \YATER IN ACCORDANCE WITH THE � <br /> � ORUINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING A ,� I <br /> � OR AS SAME MAY DE HEREAFTER CHANGED. sicH[o:�-.:LJ!-�-�R�1.�-t�/L�C/ __ <br /> MATERIALS � � <br /> I I G IN.I 1 IN. � �N. '�, I PRICE AMOUNT <br /> PIPE � <br /> COPPER- GALV.•• STEEL <br /> —_— _ —i_i ' _ <br /> I CORPORATION � � <br /> I <br /> � CURB COCK OT I I �fI <br /> I SERVICE BOX PLASTIC -- C I I I I <br /> � METER VAU�E <br /> I . _,�/ _ — _ ___—_ ___— _—__.— <br /> �METER No.s�� TYPE:C!'�R�.D�y I � <br /> ' _ . _ . _ —' -- __-_.__ __—_— _— _ _ <br /> ;�METER BOX CONCRETE —_'SMALL LARGE + / <br /> i �--�_, —__—I I--"" — <br /> �M�rl' � IL,�l�/_9_M / � �—I— — — <br /> � , l" �o R p_�'���F,r'�— � � �— — — <br /> � l"sE�v��e ct,�+N/P�•�r. 2•so _ _ <br /> � -- - -- ----I�— <br /> � I I I ' I- --- — <br /> ON <br /> I DATE INSTALLED:� 2��, -] I � OFF SUB TOTAL <br /> / <br /> ' CODE I LABOR AND EOUIPMENfR[NTAL I HOURa R4TE <br /> �I --_ . .__--"_.—.. ._—_._ ��-J l�� - II_ � — __ ._ <br /> I �i � , L��.---��--- - i `-;� — <br /> � ---- r r,=�// I b'' _ _ _ <br /> I "'J / / J <br /> i � / '7 -- ��3L--Q - � 2' - <br /> - - <br /> � �— — --��---?�.��?s� ��i' -- -- <br /> I-- —:— --- — -------- -- <br /> -- — - -- — - <br /> I— ' I <br /> I TOTAL <br /> I REM1IARKS: <br /> �-- -----'"---`---1.,rfr�'�r'.�r «---- <br />