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� APPL.�j"� /��� � APPLICATION FOR SE�VICE SERVICE N� 2351 <br /> � No 's .�l ORDER <br /> � CI7Y OF EVERETT WATER DEPT. onrE.�L�Z�(--�s�a : <br /> �,Fixeo <br /> � DEP09IT i�L/ �J No�—. . <br /> � � �J�,S SL-'1- ?���- Z`t -'7 ----- <br /> 1� SERVICE l�vwconu���l_ZCL S�'-� L'� � �7 BLK._._LOT_ ADD. — <br /> i <br /> � OWNEF ��L r�2�'1 ��- �� CONTRACTOR <br /> i � <br /> I INSTALL� METERED SERVIC'��/ ---- — — <br /> i 1 XEREBY APPLY F�G-AE-.WAfE+Y1N ACCORDANCE WITH Tl1E > a/� �%_ ! <br /> � ORDIN�NCES 11ND POLICIES OF THE WATEft DEPARTMENT NOW C%ISTING � �f' �. A �e6L _ _ <br /> OR AS S�ME MI1Y BE HEREAFTER CH�NGED. sicrvco: X-_L.�Y���/� l <br /> r' ` <br /> MATERIALB Y, IN. 1 IN• I 1 �N. I � PRICE ANDUNT <br /> I p�pE COPP�>GALV.--S7EEL �'� _ I <br /> I CORPORATION _�_ �_ �—� � - <br /> � CURB COCK OT _ � I I__ __._ <br /> � -"�_.--I"—I <br /> L 9ERVlCE BOX- PLASTIG -- C � _ ' — ----� <br /> � METER VALVE ________ .. ��_ ------ <br /> �METER NO_�S^ '_____TYPE: .____ -I_ .6 _/'�—_—__ __ —_' '- _` -- <br /> ONCRETE ' SMALL;� LARGE t � _ �_ _ __ <br /> � METER BOX � �� __/__ - — — <br /> � I -- <br /> �._ - _. 'I-_ <br /> � _—_ _ — __ _ —' <br /> I - -�— —_ "-_' <br /> � __I_- -_ _ .___ _ <br /> I — _'_ __ <br /> ! ______'_ ' —' -- — <br /> ! � I n I I � <br /> � /�l�N ; � <br /> � OATE INSTALLED: ' �7 I � �+FF ��i . SUB TOTAL <br /> ����- ��—/G — � {„ p� ri�� - - <br /> COOCI . I LABGR ANO EOUIPMENf RENTqL %� I MOUR9 RATE <br /> I--� --- ,-1-���' -- - � , - <br /> i __�/� " - -- -. <br /> i �w�,—�_'1� "�_v�_E <br /> I—� v -• f c'r ks o �, " � --- - - — <br /> i '--- � - ----�,4-��/::� -� �- - <br /> < <br /> � '------ --�--�- =�� -� ' ' i� - <br /> � � ,� - - -- <br /> , � - - --- � . <br /> �__ <br /> I �. TOTAL <br /> � NAItiCS: ? � _� � . . .. <br /> _,. J _ .�-��-- ---- <br />