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� <br />�f <br /> i <br />� <br />� <br /> �O�00.5 APPLICATION FOR SERVICE SERVICEN° � 3I n <br /> qppL. • ORDER <br /> "°. � GTY OP EVERETT WATER DEPT. '?- <br /> .1� �'ii..1! DA?'E /.r.y'.1 �� _19_ <br /> r3�FI%ED �. <br /> 4� ��� �_ ry� _ <br /> � DEPOSIT y : �.� , <br /> �7 � 2`j;' //��� L <br /> fJ . �1 - /Y �' [..C,%"c.. �� EtLK. LOT�D�. — <br /> SERVICE la �ooREss) ' �_ <br /> i �- �r �� <br />� ��� '\=i'i.(r_2t_l/�'�::�=_I "'''� CONTRACTOR � <br />� OWNER vIJ.I.�.d _ - � <br /> //f r � FEX-f= <br />� INSTAU • " , ` METERED SERVICE ,j <br /> I HEREBY APPLY FOR THE ❑SE OF WATER IN ACLORDANCE WITH THE �,�1/� � � y��l- ',�1''/`- <br />` OROINANCES AND POLIQES OF 7HE WA7ER DEPARTMENT NOW EXISTING sicNeo� �-�W-'- - 4 <br /> i OR AS SAME MAY �E HEREAFTER CHANGED. <br /> �,i IN.� 1 IN. � 2 IN. � PRIGE AMOUIJT <br /> M1tATERIAL9 � �_ �— � , ���� <br /> I — �.L � __ � <br /> PIPE C�PPER--�GALV 1-ETEEL ____ ����O <br /> �n � ��c<<., � ` ,i�� <br />� CORPORATION .--� � I II I _ <br />'� CURB COCK OT I I II I__ <br /> IfiERVICE BOX PLASTIC •- G I ___ <br /> METER VAWE __ _- — ----- ���^l� <br /> r, TYPE: � / <br /> METER No.t'.//.i�-�1ST-%/'��—�) t � ., I °�" _—�.-__-__ <br /> .�..! / �- d r'� . <br /> i= <br /> METER BOX CONCRETE .C�+-+" SMALL LARGE _ I� - -�I r I � <br /> (/ CO <br />� ,1/�� �l��,f� /-4(• ��_ - I <br />� 7'.�c •_ __ �� �� C _ <br />, C�I A..�� � rU_ � J / I^- � I�"lJ <br />� ��� — I . — i�J <br /> I _ ,'- ,A l .-I 7 I� <br /> ll . <br /> i .,.!'. / . . ..L'.. �.:� <br /> � � , � �' � aN � 33�'�I <br /> DA7E IN57'AL�ED: .� ` F / � <br /> �,'OFF /,-�����' SUB TOTAL <br /> LABOR AN�EpUIPIdENiflENTAL I HOUFS RATE <br /> COOE I I /�� �V <br /> I�` � _ � /�_ �� 7- l�l _-- <br /> � , . , . l' _�L�7 .� `� �� �G^ ���T��i <br /> � y, <br /> � it,,.st��<=— — — i �-��j �� i� -- <br /> �/ ' � ��-- -L�-`=�' L-'- <br /> i ,7 ,�._ 0 � — - � —�� � <br /> � _'�� �� s✓ I /i—I..�. <br />' --�.�,�.�o _ -- --- ------ � . - <br />� IJ� I.� /,�,�� // / <br /> ; „ <br /> I / ��� �� TOTAL I J7JI�j �J <br /> f. ) �/ <br /> I� .�----- <br /> I REMARKS: � --�- <br /> __ -_ _ - <br /> .._-_.._.__- . . <br /> __-. '-__'-_ -__ ___.�._ <br />' _�i -ir'; �--_ _ _ - - ---- <br />,,I - -- <br />� <br />� <br /> I <br />, � --- --- <br />