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i <br /> � <br /> ,. I <br /> APP��� 9 �y. SERVICE • � �� � <br /> No. J' CITY OF EVERETT ORDER NO. �� �� �- � <br /> APPIJC4TION FUR NIATER SGRVICE �/ � <br /> � FIXED dp DATE_�"�"r y ----iB�1L , <br /> � DEPOSIT g �D. �— Y���y^ ZYf<. !Jr j �. N�------- � <br /> //J/ /;// ' - /7� ///JJJ � � <br /> SERVIGE �er no�ss�O�.�iLGLS�.-.I..GY'��'�ZsL��__"LK._--LO7.l�—G��_Z.'�-•r � <br /> ,l � r <br /> _____—CONTRACTCR ----__.--- — <br /> OWNER , _�Ltif'CC��rSC�fr ___. . <br /> /(�� . <br /> INSTALI_'3� /<�T TERED SERV!CE---. _ _-._ ---- ,--- --- ' <br /> � � �:� i <br /> I HEREBY .4PPLY FOA 'fHE USE OF WhTER IN ACCOR�ANCE WITH THE �. �� / <br /> ORDINANCES AND PJLIQES OF THE WATER DEAARTMENT NOW EXISTING \ � � . <br /> OR AS SAME MAY 3E HEREAFTER CHANGED. sl�nEo: X r-�ti-�- 1�..: - --- � <br /> Y_ - / . <br /> �� ' � J��� � `� � � � bPRI�� AMOUNT <br /> MATERIFLS I IN.� 1 IN � 2.IN. j I <br /> PIPE — COPPER -- GALV. --STEEL--- `_� _ .i/ , <br /> CORPORATION —I�_ _ _ � <br /> CURB COCK OT i <br /> SERVICE BOX PLASTIC -- C I I _I _ � . <br /> M�TER VALVE <br /> —_ ___—_____ �._—_. .___—__ .—_. <br /> METER No. TYPE: I 74 I <br /> .__—__ _' . __-- <br /> .__—___—j- _—. _--_" '__i.__— — __— .. <br /> METER BOX CONCRETE SMALL LAR6E <br /> - _ -- - - - _--'- I--1-�---- � <br /> � <br /> � ��_- _. <br /> _ __--- - - ---�--�� --- - - <br /> i ; <br /> - <br /> - ----- ----- - - - -- -- ------i-, -;--- -- - <br /> / � °" <br /> SUB TOTAL <br /> DATE INSTALLED: (p /2 7j � �j I � OFF _ <br /> COOE � LAdOR ANO E�UIPMENfpEVTAL ' HOUR$ RATE <br /> I <br /> - � <br /> � n � �� S: J��C I / <br /> � _�� V�i�r; ..;_i?c�c,<�'_-- ---- --- ,/- ' 7 ----- -- <br /> i 1 �T . <br /> �, h�i ' _—- — - <br /> - -- -- ---- <br /> I � ----- � -- --��Z-ll._' �_ .rT <br /> � �/� v/ _----- - -- -- - -- - <br /> _I y /- -- -- i _ - <br /> ---, --- - <br /> ------ i <br /> - - - <br /> -,, - ---- -- -------- i - - <br /> TOTAL iI <br /> REMARKS: _ <br />