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APPC �� J �� �� APPLlCATION FOR SERVICE SF_RVICE N� 4 2 5 <br /> �q,,, � ' OF EVERETT WATER DEPT. �RD��--�� � � �� <br /> 1 <br /> C� f,, <br /> DAT�_ r t <br /> � p;�.'.. . .I7��p_ � ���% W.O. <br /> No.� <br /> SERVICE (e A OP.E88) � � �� BLK.�LO7� /�� AC�-'��� - "�L����� <br /> � � ' ��:�, - ,�:yo-�_ �G y'� <br /> OWNER � ' GONTRACT�, � �y_ <br /> �"'kr � ` CJ�Z.� <br /> INSTAL �� _—METEREC� SERVICE_ <br /> I HFREBY APPLY FOR THE USE OF WATER IN ACCOADANCE WITH THE '�Y/ �� E�� <br /> OR�ASASAME MAY BEL�HEREAFT R'{CHAN ED�EPARTMENT NOW EXISTING Ri�taeo: X I`-C�'���_--Ci-L6_-��'�--�+ -���— <br /> MATEFIAL9 vi IN. 1 IN. I 2 IN. I I PR�CE rdOUNT <br /> PIPE COPPER •GALV.-STEEL 7J '� _�^ _�� I_ 5�150/� <br /> CORPORATION — __ / i II _ /ll <br /> CURB COCK OT I —' <br /> SERVICE BOX PLl,STIC -- C I <br /> METER VALVE � I � � ��J� <br /> METER N TYPE: �5 � �� <br /> �5<v s� —i2 c��1'P�,��<'/`f�_ _ �--— — .J�J� J <br /> _.__...__ <br /> METER BOX �"i`.ONGRETE 7 £MAL LPRGE _� � _ � L`,�j�j <br /> ------' �,.,�-G, -z � -- � �i' ��I"� <br /> �, �'r'" o i I _� _ � ��?� <br /> �..'.C'e cfri -�a x J I � i /�� <br /> ��� I — <br /> —�—� � I � <br /> Q%ON <br /> DATE INSTALLED: � ppF � SUB TOTAL �CC/ �3 <br /> Z ' _ / <br /> COOE � LABOR ANO EQUIPMEN'(RENTAL HOURS RATE <br /> ��i t J I / . ` "� y <br /> --I _ ,a /^� I •/ -._ ,_,�.� ; '�- <br /> i -'r /7 - �� '� I'I :+ ! ., <br /> - --I ; �. i <br /> i <br /> --, - - -i - - � -I-- <br /> ' - -- - ' - ---�� <br /> --I _ ---- -�-- -!�; � ,_ <br /> TOTAL �� <br /> REMARKS: <br /> ,�,.=„S_____ ---___----_—_.-----_ _—_�,— <br />