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S C'n�" ��v ��CS1'inH N",70_rl�/ <br /> �o"�' ������ CITY OF EVERETT � SERVICE nI0 6800 <br /> APPLICATION FOR WATER SERVICE ORDER IV <br /> � FIXED DATE��_18�' <br /> � DEPO5IT s�_ W. O. <br /> No.-- _ -_ <br /> � SERVICE (BYADDREBB)���.T1 �l �t�l(�_-_rI�_BLK.___LOT__ ADD.-- _ ._ __ <br /> OWNER Cj .�- m 1-I1�/AC�iLj�xj__L__ CONT ACTOR _______. . _ <br /> '�`ll F! er \/ ( � G / ` �- <br /> INSTAL��/ METE� SERVICE—L`(�Y)I-�-!!-G- "� 2 .- ___ __.. <br /> 1 HERE9Y APPLY FOp 7HE I15E OF WATER IN ACCORDANCE WITH 7HE �p <br /> ' ORDINANCES AND POLICIES OF THE WATER OEPARTMENT NOW EXISTING �� �/�� <br /> Ofl AS SAME MAY BE HEflEAFTER CHANGED. 8icneo: X ._'_�� .�- _""'� __ _._____ _ _ <br /> MATERIAlS ji IN. � IN. 2 IN. I PqICE AMOUNT <br /> I I <br /> PIPE COPPER-- GALV.-- STEEL <br /> _ '_ _. ..—___._ -'____.,—. . -_ � '___' ___ <br /> _—__ � <br /> CORPORATION - I � <br /> " C I � _—�_-_-'—_ . __ --_.�_._.. _ ____- <br /> CURB COCK Ol� I I <br /> SERVICE BO7C PLASTIC I --�I <br /> METER VAWE � . <br /> —_--_-_ __—. .—.. __. _ __- -_ _ . . _- . . . <br /> __._. . _- _ __ ._'- _ . <br /> METERNo. �-_fvB.3__.__ _ 7YPE:�N_�SlC'Y�. .�"_ — __—.�,. � f.___'. . __ __ _ _ _-__. <br /> METER BOX CONCRETE SMALL LARGE ' ' <br /> —. _. _ . ._- ___--I— --__— _-_, .. ... _. ______.. <br /> _ __ NO_ ACTION _ � I I _ � _ ____ _ __ <br /> -- wsll bP t�ken on s2Nicc � �—:-- —.— -- <br /> ioplicaYions without a _� i <br /> �v ?- �enlion Consu tation I -- <br /> �EE INSID <br /> ---- -- <br /> ----- --—� � <br /> -- , ----- -- <br /> � I � — <br /> � � oN <br /> DATE INSTALLED: I � OFF SUB TOTAL <br /> CODE � LABOR ANO EOUIPMENf RE�ITAL HOURS R4TE <br /> ;--Cz3 --z --i- - <br /> -- � --- <br /> - - - - �- -- - <br /> ---- - -- - -- - --- <br /> � i <br /> _ ---- --- <br /> � ---- -- -- - - <br /> � TOTAL <br /> REMARKS: - `.-v,�7/L ��O ,` .. . ___-_ _.__ '- <br /> 2 __--"_-'- . _-__ __ . . <br /> �'- 7- -- <br />