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� <br />� �/ , <br /> APPL. � 7��X CITY OF EVERETT SERVICE � -- - <br /> No, � � ORDER NO. <br />� APPLICATION FOR WATER SERVICE ���77""" ' � �� �� <br /> � FIXED �� DATc,�.. �iQ_�g� <br /> � DEPOSIT �� / yy,��/ <br /> No.____ <br /> SERVICE (BY ADOqE88 /�ZQ�__��f�, �G� � �! __gLK._ LOT� . <br /> OWNE��/��.lY ��y��9�a _� _CONTRACTOR � <br /> 3 „� -- <br /> �NSTAL METERED SERVICE_ _—._ , <br /> 1 HEREBY A PLY FOR THE USE OF WA7ER IN ACCOR�ANCE WI7H THE <br /> ORDINANCES AND POLICIES OF 7HE WATER DEPARTMEN7 NOW E%ISTING .0 <br /> OR AS SAME MAY BE NEREAFiER CHANGED. sicr+eo: .. • ����-� _ <br /> MMEftIALS �'i IN, t IN. I N' I I__� PRICE AMOIINT <br /> PIPE __ COPPER-- GAW.•- STEEL � I I �� <br /> GORPORATION <br /> .— _ _. .._ � �_ —� . <br /> CURB_COCK OT I I I <br /> SERVICE DOX _ PLASTIC - C 1 I I — <br /> METER VALVE <br /> METER No__ --_-� ___ TYPE: __ __ _I y� � -- <br /> METER BOX CONCRETE _ SMALL LARGE I <br /> ---I �_I.--_ —_—_ — <br /> --.—_—_ I—i �_I_ __ —�__ <br /> _ _-- � __I �f- �— - . <br /> ---�- i !-�-i - _ <br /> ON <br /> DATE INSTALLED: �� j� _ Q � � OFF SUB TOTAL <br /> C <br /> CODE � LABOF AND EOUIPMENT RENTAL � HOUR�i RATE <br /> _� _ s. �-P �(_11�{� <br /> � — --- -- L , c�-Q�I J „ <br /> � 7�z�i/_I!"- -- <br /> ----- ---��a/��/--_- _ � - ---- -_ - <br /> _ . � <br /> � --_-- - <br /> TO7AL <br /> REMARKS: - <br /> � — - _�_ <br /> I I <br /> 0 <br /> � <br /> � <br />