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APPL. / SERVICE ' - <br /> No. �� � ��y� CITY OF EVERETT �f° 6685 <br /> APPUCATION FOR VJATER SERVICE ORDER T <br /> � FIXED �/�- DATE___���19�" <br /> � DEPOSIT s �� �-_� W. O. <br /> — Ho.__ <br /> � -—/�--- <br /> SERVICE (sr wo0 [ce1-�-�� ,,S��7 � � ��BLK._ LOT_//_ADDv�-�y�—�, `V1 <br /> OWNE �C LL�L/�C� CONTRACTOR__ _ ' E�-"' � <br /> INSTALPL__y_�����D SERVICE�.__/-��L- . �/- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE � � <br /> ORDINANCES ANU POLICIES OF THE WATER DEPARTMENT NOW EXIS7ING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. e�cr+eo: X ._ __.. _ . _ __ ___ _ __ ____ <br /> MATERIALS ---- 5�' IN. 1 IN. � 2 IN. i I -Pp� ♦MOUNT <br /> PIPE COPPER-- GALV.•- STEEL I <br /> CORPORATION '_- '�--- --�—I--,-�� __ -- <br /> CURB COGK OT I I <br /> _____--_- __ �—I__ _ __-__ <br /> SERVICE BOX PLAS7IC •- C I I f I <br /> —_ — ' —�.—._ - _.- _-___. <br /> METER VALVE � <br /> .____ ._._._-_ ___ . . ____ -.___- I <br /> - —.__ __-. ._.- ___ <br /> __. _.. ___ '_.. _. <br /> METER No. TYPE � •x . I <br /> _____ —._._- _ ___.-.__ _ .__ _ i _. .i_ - .',,--.I ' <br /> -_-__ '_-'__' _'_ '_ ___' <br /> METER BOX CONCRETE SMALL LARGE j � I <br /> I_-__—_ � I- __ ._...__.- _— <br /> - — _—.-._ -- I___ __—I— I—�___ ---__ ' __ <br /> _ _'_ _ _—'_ _I__'____ '_' __ "___ — . <br /> � I <br /> '-___-_-_-_.__.____"--__'_ I'— �_I__ _—_ <br /> ' -___"_— __"__.___.-._--.�—I- __' __i__�_ _ — <br /> I � � � <br /> I F�/ ON <br /> DATE INSTALLED: � _ ) � �-� OFF SUB TOTAL <br /> o�- <br /> COOE �I LABOP AND EOUIPMENfRENTAL � HOUHS RqTE <br /> ��..�7 / (�� <br /> I-_f..�-'���(�- D� __._ -'-___ _—. - - _--I_— _____' i.. <br /> __ '—_—' _ ___- __- '— ____ <br /> ___ _"_ __'-_"__ <br /> .—_-"- _--'_ _"_""-""- -_ .. <br /> I - ___— ____ <br /> __" ""_______"-.______.-____ '_— <br /> _"__'_ "-"___" __— <br /> I _____ <br /> � I <br /> _ -__----__-_".-_"___."'-____—_-__-"____..__ _'_ <br /> i .'_"_- ___ __"_ i <br /> I _ _ .. _ . _ " ". _'" _ . . � <br /> _� � __ _ .' _ _---_ _"_ -_"__-"_i _ _ ._ _ __-_ _....__". - I <br /> / TOTAL � <br /> REMARKS: :(LL�'E<L._G�Y}'J�ZVJ_�_�___-.__'_ _..._—' I <br /> --_ !) <br />