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�pP�.lO(v�y APPL'fCATION FOR SERVICE 3ERVICE y� � Q � H <br /> No. , �v�� /� ORDER <br /> CITY OF EVERETT WATER DEPT. <br /> L DATE �� ��� ._19L� <br /> � FIXED <br /> � DEPOlIT i �75 0o W.O. <br /> 7�iZJ - �1 � �•�% 5 �• BLK. LOT__ADD. <br /> lHRVIC6 c�r wuoRua� -- <br /> . OWNER/C�PJ�TO� ti1'�o�✓ _ CONTRACTOR_��'��N �� — — <br /> � -FidY� <br /> INBTAL� � METERED SERVICE � <br /> I HEREBY APPLY FGR THE USE OF WATER IN ACCORDANCE WITH THE � <br /> ORDINIINCES AND PULICIES OF THE WA7ER DEP�RTMENT NOW E%ISTING ��' <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. s�cNeo: ��!-•*� <br /> MATCRIAL! �'i IN.� 1 IN.� 2 IN. I ►1110E AMOUNT <br /> , PIrE COPPER•-GALV.—STEEL �,� �— � 6�3y <br /> , , r <br /> CORrORATION � _ �I ,��5 . <br /> CURS GOCK OT I I I <br /> BERVICE BOX PLABTIC -- C I I <br /> MET[R VALVE __�_ __ �� <br /> METE_ R rNo. J I 1�-- TYPE: _ �C'�� _�1—_ _— — _ ��'^-'_ <br /> METER BOX CONGRETE SMAL LARGE 1_ 5�� <br /> I <br /> _I �—I— <br /> I � <br /> � I <br /> _— �I — <br /> � ON <br /> DATE INSTALLED:� + 7 l� �OFF �Q gUB TOTAL 5Ji' L-� <br /> CODC II LABOR ANO EQIIIPMENT FENTAL I HOUFd RATE <br /> YY� — � (r 1 <br /> I —I . I _. <br /> I�-_ ��� �, i,J= ���i--- <br /> I � <br /> --� F � M1 _ -- -- -- �-�. - `.Z"{� � i��`.- <br /> ���/ ---------- — -------I�.� �'' ✓ ��. <br /> I Torw� �96�8�. <br /> REMARKS: , " . -. ' ' . . . • � .. <br /> /J�� ��i ' .��_i`' _"`_-_ ____- - / � <br /> _�_LO_ -' ' ". --'�-=- - --. _ _ ..__ - -- - ------- ------ — <br />