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APPL. �,/� IJ �, CITY OF EVEFIETT SERVICE �u 61 Hs <br /> No. � ORDER T- <br /> APPLICATION FOR WATER SERVICE <br /> DATE_�-1�--- <br /> rX FIXED <br /> y�� <br /> � DEP031T � No�� <br /> , gERVICE arAD��ut) � 1, BLK._ LOT�ADO.__L1Lu1�.—�� <br /> ' OWNE � � II CONTRACTOR �� --- <br /> INSTALL_a1-- �TRED SERVICE�`� " �O � "—�--�-- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORI)ANCE WITH 7HE <br /> OR�INANCES AND POLICIES OF THE WATER DEPARTMF.Ni NOW E%ISTING � � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. e�cNeo: X - - - -------_ <br /> MATEPIALB 9i IN. 1 IN. � 2 IN. � � PRICE AMOU�T _ <br /> p�pE COPPER-• GALV.--STEEL _� � _ _ __ <br /> CORPORATION ' _ — � -- <br /> — —I <br /> CURB COCK OT I I _ <br /> SERVICE BOX PLASTIC -- C I I _. <br /> METER VALVE _ ___-_ -__ --- -- --� <br /> METER No. TYPE: I_S _ __ _ _. <br /> METER BOX CONCRETE� SMALL LARGE _I_ __ ___ ' . <br /> _ _ _ .___ I--�I'— <br /> I J—I— <br /> � <br /> — --I = �_ <br /> I <br /> I I <br /> � �IV �/ I a'�/ON A�� �/ SUB TOTAL <br /> DATE INSTALLED: I � � OFF !- "`� <br /> CODE � LABOR ANO EQUIPMEN'� RENT�L HOL1R5 HATE <br /> �i� �� �l ----�--- �. <br /> � <br /> � -- � -- <br /> � � - <br /> -- -- - I <br /> � - <br /> � - <br /> TOTAL <br /> REMARKS: �,�' � 3 _ _. <br />