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APPL. � SERVICE <br /> Na ,��� �j CITY OF EVERETT ORDER N° � 6648 <br /> APPUCATION FOR �VAT[R SERVICE ,/ <br /> � FIXED DATE .__��_�_18_(LL <br /> �� <br /> � DEPOSIT s G� � N�_ - <br /> �11 7 1(�1 1, l -7�iC'( 1.;,l}t��-,j <br /> SERVICE (!Y AGORE�/)�C� I ' " .� L��-.J-��LS� BLK.. LO _�-A .$�1�N�� <br /> �' -�' `({-�r • c- L c- <br /> pWNIE y''L�.!-W /.1� ? GONTRACTO <br /> ( FLA�T}� � �J I �/� <br /> INSTAL� '_�-'-M£TERED SERVIGE�--l��S�-� _ __�/_L�I __ <br /> I HEREBY APPLY FON THE 115E OF WATER IN ACCORDANCE WI7H THL <br /> ORDINANCES AND POLICIES OF THE WATER OEPARTMENT NOW E1(ISTINf: <br /> OR AS SAME MAY BE HEFEAFiER CHANGED. e�cnec: X ___ ______-________ _. .__ _. <br /> MATERIALS �'. In. 1 IN. i 2 IN. � � � PRICE ' �MOUNT <br /> PIPE COPPER -- GALV.•-STEEL � <br /> -- - -- �-!- --- -- <br /> CORPORATION � _I_ I � <br /> _ ____ - ..---__-- -- .-._.'__-_ ._____ ____. _____ <br /> CURB COCK OT I I <br /> - _ - —i �_.�_- -_ -__ _ <br /> SERVICE BOX PLASTIC -- C I <br /> - —__ - — <br /> _____'_-. <br /> METER VAWE I <br /> . ._ __-_.__ ___..___ ._. _.__ — . _.__ . <br /> . . . _' . _ ___ _._ _' <br /> METER No. TYPE: I �; . I <br /> --__-_.. . . . ..-_ . .. .__._ .-. -i i .___ <br /> ___ -__ <br /> METER BOX CONCRETE SMALL LARGE I , I <br /> ..___._- ._--_ .I _._ _-_I _ _- .._ . __- <br /> ' -__._-'�-__ � - _.-- __— <br /> I _ I' _ <br /> � i i <br /> -' '-i i .I___ -'_'-_ _-__ -_ <br /> - --- � - --� ��- �� - - -- - <br /> --- --------- I ,--I�-,---- -- - <br /> ON �yy.� <br /> DATE INSTALLED: V � 7 _, CjU I � OFF / 'j SUB TOTAL <br /> v / <br /> COOE � + LABOR ANDEOUIPMENfRENTAL I NQUPS RATE <br /> ����__�--� - - -- ------- -- - -- - -- <br /> - - �- -- --- - <br /> ------ ----- --- - --- _- <br /> -- � <br /> -- --- -----�--- ----- -- -- - <br /> -- ---------- -- __-- --- - - - - -- <br /> ---'- __------ - - - - -- ---------�-- - I <br /> i _ <br /> TOTAL I <br /> REMARKS: J,^ <br /> -------`�'�G-�-"'-2_ C��f���-J--�� ----- _---------------- <br />