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I <br /> I „I� /� � " <br /> 1 � APPLICATION FOR SERVICE SERVICE NQ Zp80 <br /> � �P if.�� ORDER �. <br /> . No. I -��•' � CITY OF EVERETT WATER DEPT. <br /> oATE lG� l __ie71 <br /> uG'FIXED = _� <br /> . � DEPO8IT s lQ �1 _ W. O. <br /> No.—_—'___'_ <br /> - �OS U�L��T/1/I/.�.IS/LioJ�/�BLK._—LOT_ � _AOD��� <br /> ' SERVICE cer�oonu�� <br /> GONTRACTOR ------ <br /> ' OWNER-- -- <br /> I �FLAT ' <br /> � INSTAL M'T��---�`�e^"""�.-r- _ <br /> j ,ih����-�. -- ` <br /> 1 HEREBY AP Y FOR THE USE OF W�TER IN �ICORDANCE WITN THE � ���_ <br /> � ORDINANCES AND POLICIES OF THE WATER DEP�FfMENT NOW G%IS71NG sl�Neo: X - <br /> �� OR AS S�ME M11Y BE HEREAFTER CHANGED. Pq�CE ' AMOUNT <br /> MA EPIFLB I K �M• � �H•I 3 �N. � I � <br /> I <br /> � PIPE GOPPER--GALV.»STEEL_ -- I —_ <br /> � CORPORATION I — — � <br /> CURB COCK �T —I <br /> PLASTIC - C I_ I / <br /> L BERVICE BO% __ <br /> I METER VALVE —______ --- � -- ----- --- — lil <br /> �METER No. __..__ TYPE: _____ Sf __. --- -- —. I <br /> �— SMALL LARGE -- ' — <br /> ' METER BOX CONCRETE __. --I <br /> I _— ___ ' .�I'_-- <br /> �---------- - I_ �_ - I <br /> I- --- --� - - <br /> I � __ - <br /> � --- -- ---�� - -- <br /> i _ _ _. _-- ��---',--��--i - <br /> � ON <br /> /v \ \n �� / SUB TOTAL <br /> ' DATE INSTALLEA / ') '� �� � ['�FF •e y !.�-� � <br /> �r <br /> L�90P AND EO�IPMENfRENT�L I HOURS �.�`E <br /> � er—�— --�(�C�S��--I��— --- <br /> I -- --=I�� --- -- <br /> I ----- — �f'�„�i1� --- — <br /> � I �— --r--- - � _ _ <br /> � -=f�I_-��--�--- ._i- <br /> i -- � �� �- -- <br /> ___---� <br /> I- - ---- -- -, � <br /> � --- -- -- <br /> � — - -- � <br /> � i, ----� - --_. .. -- ---- --- � / <br /> I I fOTAL % <br /> � �--�— �-' � / / i <br /> �� � -- <br /> � REMA'?Kf,: ` L'� �(�F (�_-1_�111L1_'�__J�:� . � .�_�_..__ _..' __—..— _ ._ <br /> .J'.� . �—._ <br /> __ '_ r _—_ <br /> ___.__'- _ _ _ <br /> 1—_' _._ _. , _ . <br />