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f <br />� <br />� <br /> I <br /> RPpL`Q j !�/ APPLICATION FOR SERVICE pRDER E �]? 4 5 6 <br /> No, � <br /> � 9 7 �.� CITY OF EVERETT WATER DERT. � ���.�_1 e� <br /> DATE <br /> � FIXEO /�� N O. . <br /> �� � DEPOSIT f _ r� <br /> � Z�- �I• � r_BLK. LOT / ADD. <br /> SERVICE (BY ADOREif,)_�� � /�� `, <br /> _CONTRACTOR w�����`� /�l�aL �- . <br /> OWNER �2E0 C��.oGIIF� L�4��- <br /> « }�*T� <br /> INSTALL��---METERED SERVICF <br /> 1 HEREDY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �G' •� /� ` ' l � <br /> OflDINANCES AND POLICIES OF THE WATER DEPAkTMENT NOW EXISTING B��nEo: � G-� """�`� l� <br /> OR �5 SAME MAY BE NEREAFTER CHANGED. —— <br /> �i IN. 1 IN. 2 �N. PRICE AMOUNT <br /> � �SATERIALB . � n� <br /> � �I <br /> p�pE COPPER'�-GALV.-STEEL _.— � � <br /> � � — <br /> CQRPORATIUN - I I <br /> CURB COCK �T I <br /> 96RVICE BOX PLASTIC -- C I � <br /> METER VALVE ^ 33�3 <br /> �E: r�J ' � � <br /> METER No __ ,`-�+�� —'- -- _?�� <br /> � METER BOX CONCRETE M�1LL�� LARGE 1__I __ i <br /> ��J fQ,�cc -l48S's'4r! � I <br /> —I I_ <br /> � <br /> — — — — � <br /> - � <br /> I � ON I <br /> DATE INSTALLED: 'I_ / _(�. <br /> G�LOFF SUB TOTAL <br /> ��� � HOUR6 RATC <br /> � COOE ' LABOR AND EQUIPMENi .iENTAL — <br /> � �— �� ' ���_ <br /> I <br /> � �.�--�I ;�"I.'.� : <br /> I('.w - <br /> ii I <br /> 11 -- — —I / _—�I , I'� <br /> -- yd — � _ <br /> I � I � <br /> _� TOTAL <br /> �� �_ <br /> ��. <br /> ___— <br /> REMARKS: _ _. - <br /> _D�r�` �r��� ----- �, — <br /> _� <br />