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APPL.��`��lV �� ClTY OF EVERETT SERVICE • n „ (�,�. <br /> No. ORDER NO. .��U U <br /> APPIICATION FOR WATER SEFVICE cr, <br /> � FIXED da DAT�L����'� —lYa�_ <br /> � W.O. � <br /> � DEWSIT s ��6 o�A ryo, _ — <br /> 3ERVICE (�Y AOD11u �o P ` �2�G'L`t - BLK._�bLLOT��A00.� <br /> T /s-y5 9 .c3 <br /> OWNE . �""� CONTRACTOR--_ <br /> �i F <br /> INSTALL—� ETERED SERVIC — � <br /> I NERElY A►PLY FOR 7HE U � R7ER IN "'COtiDANCE WITH THE f p/ <br /> ONDIHANCES �ND POLICIES OF THE WATER DEPAnTMENT NOW E%ISTING /� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. e�cr+eo: X . . _1.�,..� <br /> MATENIAL! �/ IN.' 1 IN. � 2 IN. I I PRICE AMOUNT <br /> D ! <br /> PIPE / iS ��G COPPER--GALV.-STEEI _ 2 � <br /> �` CORPORA710N . <br /> CURB COCK OT I _ <br /> I8ERVICE dOX PLASTIC •• C I I _ _ _. <br /> � METER VAWE . _ <br /> METER No. taJ^�_�___ TVPE:BPa7t'_-_.I_ 'G- — � — _— __ -- _ <br /> ML�ER BOX CONCRETE SMALI L4RGE _ . <br /> _—I -- - <br /> i <br /> _I _ _- <br /> 1 -- — _—II _ __ <br /> d '__-. - _ — -_ __'�' <br /> � —_--_ <br /> I I I <br /> � I N <br /> � DATE INSTALLED: ��� /� dO � OFF SUB 70TAL <br /> b r3 <br /> � I LABOR �ND EOlI1PMENf RENTAL I HOURS R�TE <br /> COD[ <br /> - i -_ __- _-I_� - <br /> -� _�����Z� � - <br /> , _ - i <br /> i - - - - <br /> -i <br /> TOTAL <br /> REMARK3: Et1,SC ,���f��nf_l� �E"S- —_ <br />