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E <br />� <br />' <br /> j�PP`+'�'.��°O � CLTY OF. EVERETT SERVICE <br /> No, n ORDER NO. � <br /> APPLICATIUN FOR �NATEft SERV�CE , <br /> � FIXED onr��v-1�—_i�.<��- <br /> c�j <br /> � DEPO5IT S ,U _ No�— - -.. <br /> ���//��� G1'+ �G"'�' � ` _BLK._ LOT—�LAD���' �'88LG� ���� <br /> SERVICE (9Y ADDRE8B1 ' <br />� OWNER�1�£-0� y�>�1-"� ---. . ._—.CONI'RACTOR — --- <br /> r INSTAL/u TETERED SERVICE---___ -- — ------ <br /> r <br />. I HEP.EBY APPLY FOR THE 115E OF WATER IN ACCORDANCE WITH TH'c �,.:'� / �' <br /> ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW F%�STING /�` <br /> i OR AS SAME MAY BF. HEREAFTER CHAN6Fu. sicnen: X��l� / "...�_�_..--_- <br /> M1tATERIALS �n �N. 1 IIV. ' 2 IN. � , L PRICE AMOUN� <br /> PIPE COPPER-- GALV. --STEEL <br />� CORPORATION _ __ _ ��� I <br /> CURB COCK OT I � <br /> SERVICE BOX PLASTIG •- C I I � _ <br /> METER VALVE _ _ _ _ __� ___ _ _ _ ___ _ <br /> METER No. TYPE: ',S <br /> __ I �.--. -- <br /> — __ _____—__-- __ <br /> METER BOX CONCRETE SMALL LARGE � , _I_ _ <br />; —�._--_-- _-.I_--I_—I--I _ _ <br /> _ — I_ �_I _ <br /> f I I I <br /> I'_ I _— — — <br /> __'_— �_ —�I — <br /> -- —__. _".' �_I—_"_'_'_--_-- .__-__ __ <br /> ) I � I II � � <br /> DhTE INSTALLED: y - 13 ��� I � OFF SUB TOTAL <br /> COOE I LABOR AND EQUIPMENf RENTAL I HOURS RATE <br />� -I _ -- -"_-.7/'t��-�I�- <br /> I <br /> I �7 � ��___�__� • _ ___ <br /> -� 1��_� �-- --- - -- <br />; , _ , _ <br />, __ -- �- - <br /> r ; - - - -- i - - , - <br /> TOTAL <br /> REAIARKS: � �- l� _. ..___ <br /> � <br />� <br /> l � <br />