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1 <br /> � <br /> ; <br /> � <br /> � <br /> i <br /> � <br /> � <br /> ' APPL. n SERVIf:E <br /> no. c�✓�.� CITY OF EVERETT URDER No. �� �_' �' :� <br /> APPLICATION FOR WATER SERVICE 9 /6 <br /> FI%ED DAT�•//—_18�� <br /> � O <br /> %� <br /> � DEPOSIT s� W. O. <br /> e No.__ // <br /> SERVICE (erwoox s1��-•/ Y� """ �� ��BLK._ LOTJ`-' .b�U.' ��XyLb <br /> OWNER_�L�(yq��� �� CONTRACTOR _ <br /> �� A <br /> INSTAL� ERED SERVICE_ —. —.. � <br /> i HEREBY APPL FOR THE USE OF WATER IN ACCORDANCE WITH THE � ` <br /> i <br /> ORDINANCES FND POLICIES OF THE WATER DEPARTMENT NOW EXISTING ' �i � '-, �,�C �7 <br /> OR AS SAME MAY BE HEREAFIER CHANGED. eicneorX-� �— . <br /> MATERIALS Y� IN. 1 IN. � 3�IN. I �I PHICE AMOUNT <br /> PIPE COPPER-• GALV.--STEEL —_ —� — <br /> CORPORATION <br /> CURB COCK OT I <br /> SERVICE BOX PLASTIC •• C I I <br /> METF_R VALVE <br /> METER No. TVPE: I SS <br /> METER BOX CONCRETE SMALL LARGE <br /> _— _—�--- <br /> I <br /> I <br /> _ _ _—i _— _ <br /> I <br /> __I — — <br /> _ _'— _ —I �_ _. <br /> ON <br /> OATE INST.4LLED: / _ /`�._ D 11 OFF SUB TOTAL <br /> U � <br /> CODE I LABOR AND E0�11PMENT RENTAL I HOUPS RATE <br /> I --- -- ��eX_-/H-� <br /> � /� /y(m,-el / " <br /> i � �z1Jf I l '� --- - -- <br /> _ ,_ ��,�� �,/_--_ ; _ <br /> -� � <br /> - ------- - _----� _ <br /> --- , <br /> TOTAL <br /> REMARKS <br />