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, <br /> AppL/6`� , A7PLICATION FOR SERVICE s�irvicE D � 3 � O <br /> No. ORDER <br /> ������ CITY OF EVERETT WATER DEPT". � <br /> DATE ��i9�G• <br /> � FIXE <br /> � W.O. <br /> � �EPO51T s ZQ No._ — <br /> SERVICE (erwoonece)�/� ����� ��f -BLK. -��nT--�+DO. -- <br /> WNER — ��ACTOR_-- � <br /> �' FLAT � lr� �l�� <br /> Pn<G�� � ..C..c i.'u� "c°"2/- <br /> -�„�' 1lE9 SERVIGE� / <br /> I HEREBY APPLY FOR THE L�SE OF WATCR IN ACCORDANCE WITH THE ���� // � , �/ � <br /> OpDINRNCES AND POLIqES JF THE WAiER DEPARTMENT NOW E%ISTINu eierveo: X.. ��J ? ✓ — <br /> OR I15 SAME MAY 8E HEFEAFTER CHANGED. -�—�/ <br /> MATEHIALB yi IN. 1 !N. � 2 IN. � ' � I ICE �� AM UNT <br /> � _L__I__ ,6511 ?�/D <br /> PIPE _ (COPPER r GALV.•- STEEL � I <br /> CORPORATION _ I� I <br /> ---� ' ; � �!�1/ �3 <br /> � GURB COCK OT � � ._ <br /> �. SERVICE BOX , ifLA6Tl�-- C � ,�_I _ I �I <br /> t METER VAWE _ _ ' <br /> METER No. TYPE: I :t <br /> _. .--_ _ _ _�_— _ <br /> MFTER BOX CONCRE'iE SMALL LARGE _ _ __ � <br /> � O, T � + -II,-L� <br /> --�.._T�LL �--� -� - �'r-�i- <br /> � <br /> _ - � �_ <br /> --- ---_ -_� �_I _ <br /> � <br /> --- - i <br /> I � ON <br /> DATE INSTALLEO: /: _ ? p OFF �- � �UB TOTAL 3/ � <br /> 7 � D — 7 ❑ i.yz c�+r�' <br /> CODE I LABOR �ND EOUIPMENT REHiAL I HOURS RATE <br /> I �i� -- �- II .Sl L,���l II I '//II J ('_ <br /> .� ��� <br /> -�T � - I <br /> � �/ -- ��,- _ `� ���i I� � <br /> , • �. < <br /> _ <br /> � -�--- � <br /> . <br /> , <br /> -- . <br /> - -------- -- I I <br /> � �. -- ' - � <br /> ----- - - --- � <br /> i � <br /> � - <br /> TOTAL �.�� �� <br /> i <br /> _!�fi M RKS: __ _ —� - <br /> _—___ '.___—._ _____- _ - <br />