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�..r .�. � � <br /> � <br /> ' nNP�.. ,�� r `�� � APPLICAYION FOR SERVICE SEF.VICE No 20G� <br /> I No. ORDER <br /> � I� CITY OF EVERET�' WATER DEPT. � <br /> I �FIXED � " �C,L"O,rl�! DATE_ 7��— —�9 TS <br /> i � DEPOSIT 5 / �•�!__ No�- — <br /> � �� ��., //�/`'J� /' / S'G � �/!T /J/�u�� <br /> I SERVICE (6Y ADDRE55)— —f/�_/_ `� �ro�I�� e�K. �or_ —�oo.__�sl�-��__-_ <br /> IOWNER--/`-���/�{' _�'�'�I L'�. _ ___—.CONTRAGTOR_---_--_._—--__...-_—_._- <br /> � �' FLAT <br /> � INSTRLL_��—METERE�H-SERVl6E ---- - �7 -- <br /> j I HEREBY AP LY FOR 7HE USE OF WATER IN ACCOFDANCF. WI7H TH'c �/ <br /> I ORDASASAME MAY DELIH REAF7ER CHANGER�DEPARTMENT NOW E%ISTING SIGN[D: % ��� -•—L�`V-l`ll�---�- - <br /> � A!ATENIALS I �i IN.� 1 IN. 'I 2 IN. I 'I � PRICE AMOUNT <br /> I � <br /> � plpE COPPER-- GALV.--STEEL _ ___I I ____._ <br /> � CORPORATION �I __ _ _ __ <br /> —_ — i i _ <br /> r CURB COCh: OT I I ___._ <br /> I_ — —_ I <br /> �ERVICE BOX� PLASTIC -- C 1 __ I I ___.. <br /> _—_—_ _ <br /> � � <br /> I METER VALVE ' <br /> —_—.__ _____. _.—.—_— i ._.._. . __ ___- —__--..__. <br /> �METER No. TYPE: s° ____II <br /> —_—.—___—_ _. ---___—._I_-- ____ _-- — .__. <br /> '� METGR BOX CONCHETF_ SMALI LARGE _ __ ___ <br /> i _ —'__—'_' __ —'—I— � L_ — _— <br /> I —� —L— I— --- --- <br /> I n1 n � � ` S. �f' S, � -- -- <br /> � t t 'C /-� �� -� — -- <br /> �— ---- - ------�---�,--- --- -- <br /> � s�l>>JC�LaS r - /ii �4!"�j�. /y ./•;� r. I � � I . <br /> �' I � CN J <br /> I DATE INSTALLED: � OFF,�� �� � `� SUB TOTAL <br /> 7'�%` 7.S .CL i./6'i- C—' <br /> CODE I . LADOR TND EOUIPMENf RF.NTAI. I HOURS RATL <br /> I . <br /> �. ' �S'G.L� ----------I�— -- �--- <br /> � -- -- j__ _— _— -- --- <br /> I I ,��' :�t� ��LCG�- >/1—�'_// --� � --- ---- <br /> I I `7���— I <br /> � — — --�—�—, — �-- _--- -- <br /> — — ------- — — <br /> ---- <br /> �' ' c� j-- ------- —�---- --- ---� _ <br /> _ --------- --— <br /> � � — <br /> , _ __— -- -- — <br /> � �---- --- __ <br /> i TOTAL <br /> I IttMAHKS: _ ______ ______._ . . <br /> � . . _ _ . _ .. __ __ .._ _ . . . _ . . _ . <br /> ..__ '____ .. _. ___. . _... <br />