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AP�� � -) SERVICE <br /> J��� CITY OF EVERETT OR�ER NO. � <br /> No. qPpLICATION FOR Wr1TER SERVICE <br /> �� <br /> onrE'- -----�e�I_ <br /> � FIXED d0 <br /> W.O. <br /> � r � _ <br /> � DEPO5IT �,J^\. .. No._- _ ---- <br /> � J'V'�.-7 �~��+J ��� �l�f�!/��_BLK._—' 7 LOT__ADC�'�-'"C. _ <br /> SERVICE (BV ADDPE80) � =%J • --/'� �Jti � <br /> G���� � �)_ - (� __'-_-'_-__. . <br /> OWNER � .F�O�CONTRACTOR_ - - � <br /> �/ - ._ -_ __. <br /> INSTALL� — METERED EERVICE __ - - -� -- ---'--- —�//�� y/ <br /> I HENEBY APPLY FON THE� �•°A7ER IN ACCORDANCE W�TH THE eicr+co: ��. " 1!� `-� � �^'"`« �� - - <br /> ORDINANCES AND POLIQES OF THE NA'EH �EPARTMENT NOW E%ISTING �_ � <br /> OR AS SAME MAY BE HEREAFTEF l'h�NGED. . <br /> w IN. 1 IN. ' 21N. PN�CE � OUNT <br /> MATERIA�6 ��' <br /> p�pE COPPER GALV.••STEEL �-�.- —�I — - --- <br /> CORPORATION_ _. .__ '_'_ ______ I I I__ I �� _�— -'- - -- <br /> CURB COCK OT _ � --I I— <br /> SERVICE BOX __ PLASTIC__C_'I _ _ _'___ _ � � — I — — <br /> METER VALVE _ . __ ---- -- �----- � - <br /> -- ___. <br /> ,9 _ __- <br /> —'--��J .. c� TYPE:��DKo� L-i- _'_ <br /> METER No. _ --�I-- --- � - <br /> METER BOX CONCRETE SMALL LARGE_ ___ _ . -- - - -- <br /> Li.'i/�G��_ _� III _ _� -- � -� __ _ <br /> I <br /> - _�"•u�TG11 -srN-fiti'-�f �� -- '-_ -._ - - <br /> -� -- '- -- - <br /> ------- --- - ----- - � �i, �-��,- --- �- <br /> _ � �I °N � <br /> n OFF SUB TOTAL <br /> DATE INSTALLED'. 7_�S, � � ' <br /> LABOq AND EQl11PMENfPENTAI - -�� HOURS RATE <br /> � �� <br /> L t�,�� -' <br /> cooe <br /> _ -� -- - <br /> ___"—'_. _-_ . _ <br /> _ '__ . .__' __-_ _._ ._ _ _ <br /> ,J��1. k��f��/ __I 3 __ --_ <br /> v-. <br /> -i --- --- -- - � �1L_- I -- <br /> -- �'�� /(��_� �-_ _ <br /> ; � 3 i�.� I <br /> -� --- -- ---__--- -- -� - <br /> __ I TUTAL <br /> REMARKS: . _",� _ /.. � ___ . _ _. . __ __-... <br /> ,'.�,::i.-� � � . . <br /> L�__ __-_ __- ____ __ <br /> ._i_i_._�L��. � . <br />