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,----�— <br /> I <br /> SERVICE � • " `S <br /> APPL��'� � CIT'r OF EVERETT ORDER N . ,-��� ;t� .-' <br />� N�' APPLiCATION FOR WATER SERVICE n <br /> DATE�=('----�P�� <br /> I �fXED CR� W. O. <br /> � DEPJSIT y ���� 1- Z� r�' `l L�S ' No.—_—_.--_ <br />� __1.�1 �--�,� _BLK.. _LOT ADD. - <br /> SERVICE (6Y A.+DReee)—«�� �/�, <br /> IQK�NEP�1�-t�Y?��.2-4--.��L...��—�[�i f-�� �Jj]S���HA�OR ' ' <br /> t �l.lrF--=.—'_'_�_ � — <br /> INSTAL� I ' /METERED SERVI E—---- -J�/�-'— <br /> I i'_RE�Y APPLY FOR THE USE 0` WATER IN ACLOP.DAHCE WI7H THE /) '/�L�� <br /> OFDINANGtS AND POLICIES OF THC WP.TER DEPARTMEIIT NOW ElISTING g�GNED: 7L� ���-- "' — <br /> OR AS SAME M1Y 6E HERZAFTER CfIANGED. fir <br /> __ �' IN. 1 IN. 2 IN. � PRI�.E AMOUNT <br /> MATERIaLS <br /> v�pE Q��-�� COF�ER -- GALV. --STEEL �� I I � � <br /> CORPORhT10N �1j O�_.. — — --- i --- — <br /> CURB COCK OT __ - - _ — I—� I— <br /> SERVICE BOX ?LASTIC •- C 1___ I— -- � <br /> METER VALVE �U!•--`�1— ______—- --- � —'_——_ - <br /> ME7ER No. aS7.�G TY?I°: �jU� �� I_��F_.._.1 -- --- <br /> � 3_r�n�__ 9 <br /> METER BOX COMCRETE_ ��(f5t/GS�AA L_LARGE _ _ �J __-- -- <br /> -.�-P - � — ------- I I_ -- <br /> - � i- �-.-- -- <br /> _—�L s� �� _ — �i i - <br /> .I 'i� �.I�r . - _ <br /> (S ���fl lbs :r+C��—�^i1l 'tr✓..�_� --� — — <br /> — I � �— -- — <br /> - - - � � j i <br /> I � ON <br /> DATE INSTALLE�: `� /���� � <br /> OFF SUB TOTA� <br /> LABOR AND EOUIPMEN"f RENTAL r � MOURS � HATE <br /> GODE � � ll �a /� I Io �[�. <br /> _ i -- ------_---:�._��:,;:�a��i,�r � <br /> � --_- _ _��il_�i ;, _ - <br /> -��7���� , <br /> -� - -��-d-�- -�� __ �r � <br /> �-- - - - -- -- <br /> ���I — � <br /> �-- -------- ----- � – � <br /> __I.... TOTAL <br /> I <br /> REMARKS: —'_____—.__—----_.—__.___._.— � <br /> ' <br />