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APP�-• � 9�/� APPLICATION FOR SERVICE SERVIC'c �° $ 3 <br /> �• ' ' ORDER <br /> �G���� CITY OP EVERETT WATER DEPT. <br /> � FIXED DAT- /� -19 , I <br /> 1 <br /> b�DEPO51Ts ��� � No�� ��I <br /> ,ERVIGE (eV nDDREse)y��� �/�'' _OLK..c�__LOT AD ._. � <br /> OWNER— __ _.___CONTRACTOR � <br /> � e��� lYc1pF .� <br /> INSTALL:L`�_METERED SERVICE_ _ <br /> 1 HEREBY APPLY FOR THE USE OF WATER :N ACCOfiJANLE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING . <br /> CR AS SAME MAY BE HEREAFTER CHANGEU. eicHen: X <br /> MATlH14L9 I �' III. 1 IN. I 2 IN. � PRICE 4MOUNT I <br /> PIPE COPPEFt�- GAW. �-STEE' �� � __,SQ �13� <br /> =_L 'I <br /> � CORPORATION __ � �_ —�� <br /> CURB CDCK OT __ � I <br /> _ _I_ -I- � , — <br /> SBRVICE BOX PLASTIC -- C I _ _ I <br /> METER VALVE __ � ___ ___ �l _� <br /> METER No. O� Y � sD�I� OOTYPE: /e .1� I 3b �'. — -- — � '3 � <br /> METER 1:�)X �ONCRETE MAL LARGE / � i � <br /> � � / <br /> _ ` �'�4�i. -7.:`�i� / I �OI��7 <br /> _ � ! <br /> i <br /> - - _ I -- <br /> _=1 i-- - f----�- <br /> - - �--�-� -- <br /> � ON <br /> UATE INSTA�LED: � ' � � - +� 7 �.qFp SUB TOTAL 51f � <br /> COD[ � LABOR ANO E4UIFMENTRENTAL HOURS RATE � <br /> I i,, � ,, 3 s ���R i�� �`I— <br /> � . -- - � — � I <br /> I�;.,:_.�,A.P � 3 3 1°� �� ����- <br /> � -��- �� <br /> i ;� I <br /> - _ <br /> ��� `� ----- � � —J'— i � s�, <br /> I_ I I I <br /> _ � _ --- -- � ---��— <br /> _ _ TOTAL i 77'7 <br /> REMARKS: _ ____.-_.—__ '._-_____. RI <br /> -.� <br />