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,..�.�. ____ . <br /> AP�•'��r/ APpLICA710N FOR SERVICE SERVICE No Z�82 <br /> No. <br /> � . � <br /> CITY OF EVERL•TT WATER DEPT. ORDER <br /> I �FIXEL DATE_L 3 � �� <br /> i .� o�� _,9 �- <br /> I � DEPOSIT 5 '�7S� � W.O. <br /> �4, i C-' — ��C_'X• .) I` Na. <br /> I --�,, �k <br /> � SERVICE cer wuoness)--���,�'"'� " '�r' ��,1L�BLK._� Z LOVr 3�,DD.�--��-�1L._ <br /> �WNER�SS��'�P '�_y'��_�_ CONTRACTOR <br /> A <br /> INSTAL� r..�wrrern �.z.....,-_, <br /> � I HEREBY APPLY FOR T�pSE OF WAT_ IN ACCORDANCE WITH THE <br /> I ORDINANCES AND POLICIES OF THE WA7ER DEPARTMEN7 NOW EXISTING <br /> OR AS SAME MAY BE HEFEAFTER CHANGED. sicNeo: X � w-.- Cf L.-t-- <br /> L .� /��----_ <br /> ' AIATERIAL9 <br /> .� IN.� I� IN. � 2 IN. I � PRICE AMOUNT <br /> I P�PE �COPPER -GALV.-_STEEL 5' �� -� <br /> � CORPORATION <br /> � CUR6 COCK OT I - — <br /> r--�-_— <br /> � SERVICE BOX� PLASTIC - C I I � <br /> I METER VALVE — _� � <br /> � MET� ER No, SC / 7 -_._— TYPE:g�'D�t?I �(li— --- - _ __._ <br /> L.l-1 L1-���� <br /> I METER BUX CGONCRET �T�� �SMqLL LARGE � <br /> � �n — — <br /> I I � — � _— <br /> oRn ' lL �[� b� ''o -- � <br /> I ��)-�--.i.��,r-- --� — --- <br /> � - ��� —� — <br /> , --- --,_—�—;_- -- --- <br /> i s�t � �2s/c� - /'i Qu.���r �y. �✓�fer tic,..7��r I I I = . — -- — <br /> � <br /> I �/C'N <br /> I DATE INSTALLED: /� �/�_ �$„ C OFF � 5Ud TOTAL <br /> a �7f�•tY1 � f':�/ -:/ <br /> L�1� oDE LABOR ANDEQUIPMEN'fRENTAL � NOURS pqTE <br /> r- <br /> � • ._ <br /> , .�� .,<�,�� CLJGhf�P r���� a � <br /> i � � , �,��- . �--- — <br /> � � r f�,s�/�r�n�.s,� — �d9 ��_ — <br /> � � y`'r+�l' 1�i S". C'n��i ��� 1{- —'e� I -�-- <br /> � -�---__ ! '"t�� I� —-- — <br /> Ga l� / r <br /> i_� ct/ t' , /� c.: ,�iF<_.s.�r .. • �a� _ —_ <br /> � � / �—���� ��/�-Y-`-- - -- ���'-�� �_ � <br /> �__I �/' ,V, �f�/ �_ z.s- � �,i�, �f r.c_ � .� �� A --� <br /> � � � <br /> I �. ,/ <br /> I REh7ARK5: / � ' [;r� ,�} TfiTAL � ,_ <br /> �--Y�f�/.��; /CO i<I"�v/GC ________--.__'e '�. <br /> � ,. , . -�, -T=__,-` _.. <br />