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APPL. SERVICE <br /> No. �7��j3 CITY OF EVERETT ORDER <br /> \/ APPLICATION FOR WATER SERVICE / � 5 g ?[3}(� <br /> � FIXED � DATF_—S� �___19� <br /> O <br /> � DEPOSIT s Q VJ. O. <br /> No._ ___ <br /> SPRVICE �erwDonEeel_��S�'I�Ci=��_�('IUe SE BLK.. LOT-L-L-ADO._ -L�Q_rSe�l ln�'„ <br /> OWNER ' p'1_._�Ol�y1Q�/i1Q�__��'1C,. _GONTRACTOR �r��-•• ____ _ __ <br /> ��� �. <br /> INSTALL.1�_METERED SERVICE-_— _ . _..__ <br /> I HEFEBY APPLY FOR THE USE OF WATER IN ACCOFDANCE WITH THE ��// / <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING _// . �/� /� <br /> OR AS SAME MAY BE HEREAFTER CNANGED. 81c��Eo: X ._ ._(�f�2J,{�_�C,_ ��[ ( Ny�4 <br /> MATERIALS �/i IN. � IN. � 2�I , I PFICE � AMOUNT <br /> PIPE COPPER-- GALV.--S7EEL____�I—_~ � __I__ � <br /> CORPORATION � —I I —I � � <br /> L-- _ <br /> CURB COCK OT � I I <br /> SERVICE BOX PLASTIC - G 1 I I <br /> METER VALVE <br /> __._._.._-__ __ __.-_.._._ ___ . _ ______ ____— ____- <br /> METER No. __—___..--.- .'YPE: .—. _ _'.'I_-"__ — '— -�'_ _ —_ <br /> METER BOX CONCRETE _ SMALL LARGE I I <br /> ___.--_---I _I� I — __- —_- <br /> '—I �fI I_ __ <br /> I �I I— —_— <br /> _ __—�—�_- � <br /> _ __— --_ I -_ �� --_ _ .'. <br /> G �ON <br /> DATE INSTALLED: � yU �� I � OFF � =UB TOTAL i <br /> CO�E I LAOOR AND EOUIPMENf RENTAL � �IOURS RqT[ I <br /> ��_ O .F793�D_i_----- -__ _..__..--- - -'..---- I <br /> � - -- <br /> � _ - �-- --- _ <br /> , ----- - -i--- -- - - <br /> , ---- - -- --- --- -- -- <br /> - I <br /> - - ------- __ __ --- -- - <br /> � - - i <br /> - _ _ _ _ _ .._.._ - - --- <br /> _ � I--- - -- <br /> TOTAL <br /> REMARKS: '� <br /> —_--__- _ ._._ _ .. ___ �, <br /> _ _ _.._ ._ . . . _ ..._.. . . . <br />