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APPL. �^��1�-J SERVICE <br /> No. �C7S � CITY OF EVERETT ORDER <br /> APPLICATION FOR WATER SERVICE �'O ��Oe <br /> �FIXED F � DATE_� � <br /> � �EPOSIT s � v�� W. O. <br /> No.____ <br /> SERVICE �e oqees� ��� l � h � �� r�� ��BLK._ LOT�_qDD�[71XJ12r>v� __ <br /> OWNER_ f.�1.1��C . GONTRACTOR <br /> INSTAL `' � ���ED SERVIGE � � � 2-�Z- � D <br /> _- - <br /> I HEREBY APPLY FOR 7HE USE OF WATER IN ACCORDANCE WlTil THE <br /> ORDINANCES AND POLICIES OF TF1E WA7ER DEPAR7MENT NOW ERIS7ING <br /> OR AS SAME MAY BE HEREAF7EP CHANGED. s�cHe : . __ _ �_ _ . � <br /> -MATERIALS �' IN. 1 IN. � 21N1 ----L � PRI� AMOUNT <br /> P��'E COPPER-- GALV.--STEEL � I <br /> CORPORATION � — I I <br /> CURB COCK OT _ I I <br /> SERVICE BOX PLASTIC -- C I <br /> � <br /> METER VALVE <br /> --_'-.-____-_.-____._ .___-_ ______ _-_ ._ ___ ___.___._-___ <br /> _METERNo. ___..-.TYPE: ___-_.-_ _..I__� '�. <br /> -_—. __-__.,,-__-_- __ __ _. <br /> METER BOX CONCRETE _ SMALL LARGE _I___ <br /> _ _ —I - II - <br /> - —--_ . _-_-- _l—_ <br /> ' — __I �—�I— — - 'I <br /> � <br /> —_ _'. ___'__ _I I _ '-' — <br /> — -- ----==i=--��— _-- - I <br /> I � � � � � <br /> ' I �ON — ___- _ I <br /> DATE INSTALLED: �`- Z�` d / � OFF •� �"�- SUB TOTAL � <br /> COOE I LABOR AND EOl11PMENf RENTAL HOUPS RATE <br /> / II 1 I <br /> I .._ __ ._.---_-___ ____ .-___-__-"_-' -' I <br /> � I <br /> i -- --- I _ _ __ ___. <br /> i - - -_____-I--.- ___-_- -- <br /> I --__--_ _- �-__ -".__.'__ _- <br /> -_-_ <br /> -_--_..-____-__- __-_ .. <br /> i _. ___ .-_.____-_____I __ <br /> _ -_ ._ ____.__ . - . . -_.-._... <br /> . . . . ___..__..__-. __.-_-_ <br /> � I ___ -_ _' -_ __._-_-_ <br /> _ TOTAL <br /> REMARK'.i: <br />