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� �. � j��-�° <br /> i APP�, ��-71-Z APPLIGC.fION FOR SERVICE ORDERE pJ� zQu6 <br /> No. ! <br /> ' CITY OF EVERETT WATER Q�PT. �/, <br /> ! �FIXED DATE 5;�!'S.—_79�Z <br /> � �n iJ�- W. O. <br /> � DEPOSITS C)• No.-.___— .- <br /> � SERVIC_ �evnooRess) w�� �L��%1� /�,}U�.__S�/ BLK.� LOT / A /� <br /> I OWNER�LIlS\(7 � �`�_��``-- 1�? -�:.ONTRACTOR-L-lYI.�\��`(,S/�-u-�-ti�-- <br /> � �j P FLAY <br /> � INSTALL� RED SERVICE— <br /> I I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> � ORDINANCES AND POLICIES OF THE WATER DEPAR7MENT NOW EXIS7ING _ <br /> • OR AS SAME MAY BE HEREAFTER CHANGED. sicNEo: X_--- --- <br /> r MATERIALS � Yi RL I 1 iN. � 2 IN. I � PRICE AMOUNT <br /> � p�pE COPPER -- GALV.--STEEL I I _ <br /> I CORPORATION _ _ I_,� .- — <br /> I I <br /> � GURB COCK OT __ _� _ -. <br /> r <br /> � SERVICE BOX __ PLASTIC }-� _ I _. <br /> ��M—ETER—VAL—VE -_-__ -----� <br /> � F1ETE� R No. --_.__.__ TYPn: _-__- I 3; _ --�-_I- _ . <br /> � METER BOX CONCRETE _ SMALL LAFGE _I I____ — <br /> �- --�--� �I - - <br /> � ----!--1-�-; - <br /> � _ �- -- - <br /> � -i�- -i - -- <br /> , ---- - <br /> i --1 ��.�i _ I <br /> �CN <br /> I OATE It�STALLED: r , �]+7 � OFF �JP{�/4v I� SUB TOTAL <br /> � �%�� ,� i <br /> GODI E I LA90R ANDEQUIPMLNfR[NTAL i HOURS RhTE <br /> i-� ------ --- Fu;�l_J- �- -- - <br /> i i � --- <br /> I � � ��z� i,U.�o,��l_�2- ---- — <br /> i -- --�'�-3�;f-�`----=-- i -- - <br /> i � ------�-- <br /> �=-t- <br /> I--�i--- <br /> -- --- _- - ---�-'° i �-�- - - <br /> � ---�--- - - - <br /> - --------- - --- <br /> I— I '-� --�- '- �' TOTAL <br /> IREMARKS: .__'_______.___.-__.. - <br /> I -__-'- - _- _____- _' <br />