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I APPL� � ��� CPTY OF EVERETT SERVICE ��� ' � <br /> No. � a a � �j ORDER NO. .. '. � �.�� <br /> APPLICATION FOR WATER SERVICE �J � �Jq <br />! � FIXED � � DATE�-C��-- �—18—,� <br /> DEPUSIT � d W�• <br /> I ❑ s �'�lS �_/�✓-C-D rvo. <br /> SERVICE (ev�ooRe887�����BLK._�L07 J!_I qpP� / � <br /> OWNE CONTRACTOR <br /> // F <br /> lNSTA ETERED SERVIC � <br /> I HERE Y APPLY FOR 7HE 115E OF WATER IN ACCOROANCE WITH THE � / <br />' ORDINANCES AND POLICIES OF 7HE WA7ER DEPAR7MENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED, slcrveo: <br /> _� MATERIALS �' IN. I IN. �� N. � I 'P ICE, OUNT <br /> PIPE P r�� COPPER •- GALV.--STEEL /.� _� <br /> CORPORATION � <br /> CURB COCK OT I <br /> SERVICE BOX PLASTIC -- C I I I <br /> METER VALVE <br /> METER No. �j jO�- 7YPE:�� ;e I 34 —�— --- — <br /> METER BOX GONCRETE y,�,�S_. SMALL LARGE � <br /> �-t�,�c A��,�L�_�euP ��3 / i_�� <br /> h'-/u.�� � • �, I <br /> ---� — <br />,' �o�M o�k �a/a� �i k--_L�Q? d.r. __i �_ <br />� — — — <br />�: I � I <br /> � ON <br /> I.1 OATE INSTALLED: a._- �� �Gi I � OFF SUB TOTAL <br />� � <br /> � CODE � LABOR AND EQUIPMEN'fRENTAL HOURS FAT[ <br />. � _I G` Z� —I — <br /> I Se X � � <br /> I �� J� co(W�/f I 3 <br /> I �V./ I <br /> —' ��— — ��sl� .Tti..��— — <br />� _I .�-r��ry �hH7 P,�--I — <br /> � ��z <br /> —I - -- � <br /> a G��{ 3 TOTAL <br />'a REMARKS: I/),S' aC� S_r'✓/LP 4�� !-s�__� �TJ�� <br /> �— —�� � �t;r_.__ .f' /-t —_ rc C4�'l� ^ <br />