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SERVICE i'' '� , _�. <br /> • No?�• � SS y� CITY OF EVERETT ORDER NO. - <br /> APPLICATION FOR WATER SEflVICE /7 /�— p � <br /> � DATEGu'��� 19Q--� <br /> � FIXED <br /> O� <br /> � DEPOSIT s O ' W.O. //� - <br /> No.— <br /> SERVICE (eY AD E8s) ��� �="���K� ��T " � '^�__-//__--E�. <br /> OWNEf�EL,a.`= • .—CONTRACTOR__--- - --- —' <br /> /� <br /> INS'iALL.�"�- ETER�D SERVICE— - -- --- � <br /> I HEflEBY APPLY FOR THE USE OF WATER IN ACCOPDANCE WITH THE <br /> OROINANCES AND POLICIES OF THE WATER DEPARTMENT NO\V E%ISTING eicru - - � ---- - -'-- <br /> OR AS SAMF. MAY BE HEREAFTER CHANGE�. � <br /> MATERIALS Y� �N' � �N' I 2 � ' I �'AICE AMOUNT <br /> p�pg COPPER- GALV.--STEEL _�I�- � <br /> CORPORATION I� ____ I_ . _ <br /> CURB COCK OT _I �I_ — <br /> SERVi[EBOX PLASTIC •• C � _ ___ I — —" <br /> METER VALVE _ _ _ ---- <br /> MET2R No. _ _ TVPE: __ _ ._ _ .I_ =s __�_-- --- <br /> METER 00X CONCRETE SMALL LARGE _ __ _ - <br /> ____ I _I' - — <br /> -_- I _I— — <br /> � <br /> � ��_ — <br /> -- -- - ---i-��--�-1 � <br /> ON <br /> "'> � ��� � �FF SUB 70TAL <br /> DATE INSTALLED: �" ,_.� � — <br /> COOE L!AOR AND EOUIPMENfRENTAI � <br /> HOURS RATC <br /> \ ._r'' ' .((�r.♦ <br /> �� I __ _..—.— _—_._---�1-_.UL—I_�JI� _ -- <br /> --i _ �� ,i)1,,�,-r I /_' -- - -- <br /> _I ---- . ��l l�' -- <br /> ; _ _ �9'S��� I - i-- <br /> -! --- -- --- - �� _ <br /> -- - ---- ---- - - <br /> -- - <br /> � -- - -- � <br /> -,- - , <br /> — TOTAL <br /> REMARKS: ___—__"_-__ '_. -__ —___- . . _ _— <br />