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AP"'E����� CSTX OF EVERETT SERVICE •) (2 i � I <br /> Na ORDER NO. J J .L <br /> APPLICATION FOR WATER SERVICE <br /> � FIXED 0 UA� � —19�/ <br /> � oePosir s �� ��?c�6—�G��f7�•�/. S�; N�� - <br /> _-_����" V ` BLK._ LOTs7�'ADO�7�?`r=--(.C� <br /> SERVICE (er Ese �—`�+��� <br /> OWNE � � CONTRACTOR <br /> L <br /> INSTAL�METERED SERVICE -- - <br /> i HEREBY APPLY FOR THE 115E OF WATEfi IN ACCORDANCE WI7H 1HE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMEN7 NOW EXISTING <br /> OR AS SAME MAY BE FIEREAFTER CHANGED. sl�r�eo: X _ �— �� <br /> MATERIALS �/i IN. 1 IN. � 2 IN. I PFICE AMOUNT <br /> p�pE COPPER-- GALV.--STEEL _� <br /> CORPORATION - <br /> CURB GOCK OT � — <br /> SERVICE BOX PLASTIC - C 1 I _ _. <br /> METER VALVE __ I __— —� <br /> METER No. TYPE: I Y� � <br /> METER BOX CONCRETE SMALL LARGE _ <br /> ——I _� —. — <br /> I <br /> � <br /> —I _— — <br /> —_I _ -- <br /> . I I i ^I <br /> //� ON <br /> DATE INSTALLED: /' /LiL /� ( I OFF SUB TOTAL <br /> 10 { 7 <br /> GOOE � LABOP ANO EO�IPMEN"fRENTAL I HOURS RATE <br /> � c-�e��V�,��r; C�c'i-, S• -1�''7� � �' � <br /> -i D• /�7-I ",' „ <br /> -� -_�f��l -!�� �"z!I i�" - <br /> -�i _ -_-- I <br /> � ---- -- <br /> -I <br /> -- TOTAL <br /> REMARKS: __. <br />