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SERVICE <br /> APPL. ���� CITY OF EVERETT ORDER N0. � - ' <br /> No. °�^7 /� [� qppLICATION FOR WATER SERVICE � K <br /> �T�� �O / DA�y� /+L'_1 -_ <br /> � FIXED �� W <br /> � UEPO5IT s�j D No. --- <br /> /� _4 •_BLK._ LOT��--�L[i�T�u: "��. <br /> SERVICEIerwo 1��+'=�� - <br /> ��-y�y� �- ' COhTRACTOR_ <br /> oWNE ._ -___.--- -- <br /> /� � <br /> INSTAL,3/�METERED SERVICE---- - � -- -- —���-� � <br /> I HERE9Y APPLY FOR THE 115E OF W�TER IN ACCORDANCE WITH THE ; ,(� C <br /> ORDIIUNCES AND POLIGES OF TME WATER DEPARTMENT NOW E%ISTING BICNED•� -. L'"'�-�-- - ---------- � <br /> OR AS SAME MAY BE HEREAFTER CHANGEO. -- —I <br /> MATENIAlS <br /> 4� IH. 1 iN. I 2 I� PRICE AMOUNT <br /> PIPE COPPER-� GALV.-STEEL I . � <br /> CORPORATION I I—I- '- <br /> CURB COCK OT __ 1 —i _ � I— - <br /> SERVICE BOX PLASTIC •- C I � <br /> METER VALVE --- " - � � <br /> '-__- _.' -_- _—._. <br /> . . _. __--- � <br /> _-_ <br /> METER No. TYPE: I '< _-- - � - � �' " <br /> _- . ___ ._ -.__--- <br /> —•- <br /> � METER BOX CONCRETE SMALL LARGE I - <br /> -.___'_ _-'-_—� —I I _ <br /> .- __ ' --.__..— I � <br /> -__ � � I - <br /> '�— I �� . _ - '� <br /> - - -�-�i � � �, ; � <br /> - N = <br /> DATE INSTALLE . � � ' k� (� Q�— I� <br /> OFF SUB TOTAL <br /> 1 �� I HOUR5 RAT[ ��. <br /> � i�OE � LABOR ANO EOl11PMENf PENTGL I �_; � <br /> � ' <br /> �� l, 2l_,f�-�y`-�'t"" - '--- - - --�� <br /> i r.1� - --- -- <br /> _- <br /> I-1 _ _ __ -- _: <br /> __ ���-- - -- -------- --- � _ <br /> -- ,,,�- - - -- <br /> �, -- <br /> - - - ---- -�rf-� � <br /> ----- -- - -�- <br /> _ � TOTAL <br /> REMARKS: . - . . -- ---- --- ��- '- <br />