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SERVICE � �-� � <br /> �Pr�. a 3 �Ld'�j _ CITY OF EVERETT ORDER N0. > � <br /> No. / `��� �jp ICATION FOR WATER SERVICE oATE3 /9_---�e'� <br /> l_ <br /> � FIXED O� W.u. <br /> � DEPOSIT s �OO _ No.-.---- ---- <br /> +Jp ` 3s- a9-s <br /> SERVICE (evwoonese�.-���J---� -H���BLK.'__LOT_�.f ADD.- — <br /> �J�,�,�_ _ _ _ __ _ __CONTRACTOP'._(d__G_��' " ""' -� � C <br /> oWNER-L�--____- - - <br /> r FU17- �'/ — __-_ r <br /> INSTALL-�� E'I'ERED SERV�CE_. - � -- -- -- - m <br /> 1 HEPEBY APPLY FOF THE USE OF 'NATER IN ACCOF7�ANCE WITH TNE �/� �0 � <br /> OHDINANCES AND POLICIES OF THE K'ATER DEPARTMLNT NOW E%ISTING 81GNEL: X��.�nM+-Cl-0 L'UL-+Q .��4 � � <br /> OR AS SAME MAY BE HEREAFTER CHANGED - � ��. <br /> MMERIALS 5i IN � 1 IN I � �H I �RICE MOUNT <br /> 1-+ �1 <br /> _I a II I �/1 = <br /> p�pE / _' CG. • eR-- GALV.--STEEL _ __ __ _,_� — m <br /> LIC�/�L / II I � C G <br /> CORPORATION .__.'___. -!- -- ---I"— m r <br /> -i C <br /> CURB GOCK �T _ — --- -- - � ^ <br /> i __ <br /> -. _- ____ fii <br /> - �--1 � <br /> SERVICE BOX PLASTIC _ C I _ ___I I �- - '—" x --� <br /> METER VALVE _ . _ _ , _.I-� -� -- — p � <br /> i I— C <br /> ___- <br /> _METER No. �D� 1 . _- _ /I`CI . _ I] . "I_ n _' <br /> SMALL LARGE � / I _I�— -- � ~ <br /> METER EO% GONCRET I�(� --r�-- --- -- '— � v <br /> 1 I K <br /> . ,�/ ��� II '— O �� <br /> N /1 _. .-� �._7�__�✓- I I TI2` <br /> -----d:�_a��,ti � _sT r � --i -- �-- -- _ .� � <br /> �-'C - <br /> x <br /> -- m � <br /> __ <br /> -" — -_- � V� <br /> --- -------- - -- -- - — o r <br /> - .. . ---- - �—�— -- " � r� <br /> -------�—�---- � ---- i c v, <br /> � . _— _ _._.. ___ --.-�----- --'- - -��.--.- -- mv <br /> �; —'�----- --- - - i � z � <br /> -1 r <br /> i _� pry . <br /> �p � SUB TOTAL �� <br /> � i I � OFF P <br /> � DATE INSTALLEO. ;� <br /> ; I HOURS RATE _: <br /> CODE � � L�BOR PN�EOUIPMENf PGN1wL S <br /> � - . � __ e I . <br /> ._-�,. <br /> � _ - -- _- - — I — ---- -- -- _ <br /> '�,�9� -.�-��-- <br />� i /� - �a_�_��s` � ��� <br /> I ' �QQ��}Ll/./� .� �. _ � <br /> _�t�G4s�/ � / _.__ _ _ K I _ <br /> -_ <br /> _ _""�__-- '___/-� d /� � /� __ _ ___ ._� � ���__"_-.-"_" "____ - � <br /> __ ! �� _-_� / '� _ _"� _ �. <br /> I __ - *y�- _* - -__- — ; <br /> ---- - - - � <br /> -5 --- - <br /> - -_ <br /> ---- - <br /> _—_ -- - - � — <br /> _— � TOTAL <br /> REMARKS: . .. ___ __-__. ---_�- <br /> � <br /> � <br /> � <br />