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APAL. ������ SERVICE � <br /> No. � CITY OF EVERETT ORDER <br /> APPLICATION FOR WATER SERVICE � a ( O � � <br /> � <br /> �_ FIXED DATE__�t__ _ig��. � <br /> �� <br /> � DEPOSIT s � j"�-� W. O. <br /> _ NO._ '_____ <br /> SERVICE �er ooRE66;___Li..::�L?L_Li��� ��< ��y � �/�y �// <br /> /y --L� _._�,..�—_BLK._ LOT��_ADDI�r� / A �!l.,_' <br /> OWNE � `�,J�S.��.t� ./�� _ CONTRACTOR <br /> INSTAL `' ��r A�ETERED SERVIG[ . ._._.._____. <br /> �-A�J --- ///777 --- <br /> 1 HEREBY APPLY FOR 7HE I15E OF WATER IN ACCORDANCE WITH THE y� _ <br /> ORDINANCES AND POLICIES OF THE WATEN DEPAFTMENT NOW EXISTING / <br /> OR AS SAME MAY BE HERLAFTER CHANGEU. aicHeo: X�__ _ _ _ _. _ ___,_ <br /> MATERIALS � �N. t IN. � 2 IN. ' I PqICE AMOIINT <br /> PIPE COPPER - GALV.•- STtEL I � <br /> CO:,�ORATION _ —� I I <br /> GURB COCK OT � ( <br /> SERVICE BOX PLASTIC -- C I I I <br /> METER VALVE <br /> METEI: No. —____.__ 7YPE_____�-_-__I , --- --___ __ ___ _- _— __-. <br /> METER BOX CONCRE7E SMALL �ARGEA—I <br /> __._.-_. .—.—___I_�-- .- -____ — <br /> '__- __. I _�I_ <br /> _- --I I— — <br /> � � I <br /> '—._.. .__--- — —I I —. <br /> � <br /> —_—_.--.'_- -_ _'_ I'—_'I—I�—�—_ ___'I-- <br /> ' ,) �� / � �j ON <br /> DATE INSTALLED: I LJ I � OFr SUB TOTAL <br /> L l � <br /> COOE I LABOR AND EOUIPMENfRENTAL HOURS PAT[ <br /> ��� � � - - � <br /> i --- -- <br /> � i -- -- <br /> � ---__-- - --- � - -- - - -- <br /> - � - --- -- -- <br /> --' -- ---- _ _ _ <br /> _ _----- - - _---- <br /> _ � � - <br /> TOTAL <br /> REMARKS: <br />