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�;� <br /> NOPL������v �CITY OF EVERETT � sERvice - <br /> APPLICATION FOF WATER SERVICE ORDER NO. . .. . <br /> � FIXED DAT�i�,'�'�J_18/� <br /> � DEPO8IT�� W. O. <br /> No._ __ <br /> SERVICE (sr wDDpus� �� __�� �L . <�/ • BLK.___LOT_��_J�Py6p,�'� <br /> � � �yJ _ �� a'�,..,a,.� tyyc,cua <br /> OWNEr+ �- '1=F�cLC�3� CON7RACTOR_ � 2 <br /> � J2/u // <br /> INSTALL�C� LTERED SERVICE / <br /> 1 HERF.BY APPLY FOR THE USE OF WATER IN ACCORD.INCE WITH THE _-.� — <br /> ORDININCES ANU POLICIES OF THE WA7ER DEPARTMEN7 NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicHeo: X _,�'��'-- <br /> MATERIALS Si IN. I IN. 2 IN_- <br /> I i � PAIC AMOUNT <br /> P�PE COPPtR-- GALV.-- STE2L <br /> GORPORATION --��� — <br /> I <br /> CURB COCK OT � <br /> SERVICE BOX PLASTIC – C 1 I I <br /> METER VALVE <br /> METER No. ____ TYPE: I—._— _—____ ___— ____ _____ <br /> ME7ER BOX CONCRETE SMALL __ LARGE � I I <br /> —_ __— _ —_ <br /> _— —_._ _-- I `—I_— _ <br /> __. _ — —_— —i �_:�—__ — <br /> — � � i <br /> — _ _ I � � ___"_ <br /> — —_--- —:—I_—__�I--I_— <br /> I I <br /> ��ON <br /> DATE INSTALI_ED: i � ., . � I � OFF SU6 TOTAL <br /> �_ . <br /> COOE I LApOR AND EOUIPMENfFENTAL ' MOUFS RATE <br /> I I � <br /> - ----__ i•;'1,'; I-'i �,, --�-- � <br /> ,� � ,, , <br /> -- - - --- _ _ ___`.�.__� <br /> - - -- ---- -- � ' - i - - - <br /> - -- - ,�: I C� � 1 — -- -- <br /> --- ��-6-��'1_� , �-- - ---- - <br /> ---- -- -- - 1- ��' ' I <br /> __ _ - --- --- -- <br /> --- --- <br /> ---------- I <br /> __ _ _ - - - --- <br /> rorn� <br /> liEMARKS: <br />