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i <br /> r <br /> � � O <br /> APP� / �CY ,APPLICATION FOR SERVICE SERVICE �_ O <br /> ORDER � � <br /> "°' CITY OF EVERETT WATER DEPT. ;J <br /> �7 r/��O oare .0 :'�- � —tsl,,� <br /> � <br /> � FIXED ` , .. . - � W.O. <br /> �� no \ <br /> � DEPOSIT S,��J. - � � �� No. --- <br /> � � �j r <br /> cC'�"J�'--�-`Z.,L�:�'._--�- "��I,C'/ E7LK. LOT ADD._ - <br /> SERVICE'[uY ADOpE85) V � , <br /> � . /y �p/1��� ��,CC'�d/t'�i' <br /> OWNE � !�'��t- �. ` GL,I�i L-li.C-]� C��> CONTRACTO <br /> /�f `/ M�-TE ED SERVICF <br /> INSTALL�L-- - " <br /> f 1 HEREDY APPLY FOR 7HF. USE OF WATER IN ACLORDANCE WI7H THE .�� / /i'�,A�y-- <br /> OROINANCES AND POLICIES OF 7HE WATER DEP.4R7MENT N014 E%ISTING iC, ,�� �' C_��y <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> si,;.aeo: X_G.�-- <br /> �,i IN.I 1 IN. I � IN. L�I � PRIC! AM1'OUNT <br /> fMATERIALS __ �; <br /> i I I _. J� /.,�/�' <br /> PIPE COPPER-- GALV.-- STEEL _ <br />� I ' .�I/2 <br /> �ORPORATIO� —� �I� <br /> CURB GOCK OT � �� � <br /> SERVICE BOX PLASTIC -- C i I � ��3 <br /> METER VALVE � � �1� <br /> � _ ___ ✓Jl/1 <br /> METER No,�3C��I.7�J �PE: ._�i I ;5 � �/I " <br /> i :f` � �-_ <br /> � METER BOX CONCRETE,d��� SMAL � LARGE � _ I-- '��r/ <br /> 6 �— �u�. � � — I_ <br /> — -__ I�___� __ � I <br /> _� i -._I-- I <br /> -� �_ � <br /> -�-� -; i <br /> I �-oN -, <br /> OFF SUB TOTAL � L/�, <br /> I DATE IN�TALLED: /% _ __��y ❑ �� <br /> CO�E I LAOOR ANDEQUIPMENTP.[NTAL I <br /> HOURS RATC <br /> I l �2 i� --�', <br /> i --�i , _ �-- <br /> -�z�,�-�- -- -- -- ���-- ��; - i <br /> � -�, <br /> �; � ,,,, �N..��1 _I `f_ S G II�-i_ <br /> I,r�,�`Ct�c�� ���G(-�c___�-I--I-=' ���-- --- I - '— / I <br /> -s.� - , ��� I I <br /> __�___-- <br /> , ��7_'/_�----------- ^� � I <br /> r TOTAI_ I� <br /> C✓' ---` AA �J � <br /> . � / / <br /> REMARI<5 n11rr�1-.-'�J(�f11-�•.cG Cf����_ �J�--E"_'_7��f_s__ � �-�!/-�� '_ <br /> i <br /> I�� // 1✓� �') I../. /K1. �!�-_C-`0 . Y...S /- ��I. ./�..-.H+�CL-�t.._._�Y�G�... _ ,�../_J[xG�'L.-_'-__—__ --_ <br /> . --"L� _" ._- `t- � <br />