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N�P`� a� 9�3 CITY Or- EVERETT SERVICE N_ 6 7 3 2 j <br /> APPLICATION FUR WATER SERVICE ORDER � <br /> � <br /> � FIXED DATE_�=��_ _�jg_ <br /> /�.s �� <br /> DEPOSIT Vy, p, <br /> .. ❑ s 6'E.L—. <br /> , No.---___--.-- <br /> pT I�/1 ` �� ) �. .�i-i.��� <br /> SERVICE cev �oonceei—�Q��. -y(�.(__'�' J l_(,/ _pLK._ LOT � AD�.�'f� � Z' <br /> OWNE _J�o_ CONTRACTOR_ <br /> INSTAL�3/�° LATRED SERVICE�L-�j��L'� -�9-- � <br /> I HEREBY APPLY FOR THE USE Of WATER IN ACCORDANCE WITH THE // /1 l.�V -- __ _ _���-e('f"K/ <br /> ORDINANCES AND POLICIES OF 7HE WATEF DEPARTMEN7 NOW E%ISTING ��t <br /> OR AS SAME MAY BE HEREAFTER CHANGED. eicNco: X . <br /> MATERIALS }i IN. I IN. � 2 �N. I PPICE AMOUNT <br /> PIPE COPPER -- GALV. --STEEL — I � --- � <br /> CORPORATION I 'i <br /> I I --- <br /> CURB GOCK OT I I <br /> SERVICE BOX PLASTIC -- C I I <br /> __ _ _— ' <br /> _ __ .—' '—_-'—' <br /> METER VALVE I I I _ <br /> __._- . .-.._._ ___ . _ . . ____—_�____.. <br /> _. _ _ _ . _ '. '__. _ .- _'_._ <br /> METER No. TVPE: � �;, I I I <br /> —_-- _.. .. _—_ _ .______- <br /> —_ .'-'.__. ._. _'__.-__ <br /> METER BOR CONCRETE __SMALL LARGE _ _ � � i I <br /> ----- �- �---�-I-- <br /> --�� I -- --- --- <br /> - � -- <br /> - � <br /> - ----------- --- - � ��-j - --- -- - <br /> -- - -� � �-���-�-�-- - -- -- <br /> � I Z � y� / I � � N <br /> DATE INSTALLEO: � � � OFF ' SU6 TOTAL <br /> COGE I LABOR AND EOUIFMENfRENTAL � MOUPS RATE <br /> IA� I���� __- _ _. _'_ "'_..__'___- __'."-_._"_---__I _-" _ <br /> - -_ � <br /> ' I --..- -'- -___ <br /> _-_ __ _ _ .___ '_____ .__.__ _"__ ___ <br /> � <br /> __ .-__-_ ___ - __.-___'--__.__-____--__-___-.. .-'_- _- _-__- <br /> � I <br /> _._ __ -- _ ._._.'. _. "_.___. "__ __.- _'-_-_____ ___-_'_--_"___.- " _._-__. _.__- __ <br /> -__' ._-'._._.-_.._"_-_--____- ____ I . <br /> i_-_--._ __-_.___. __'._-_-__ <br /> _ I <br /> TOTAL <br /> REMARKS: ' ' <br /> - � i�v Cv��-`�����- -- <br />