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wPP�. CITY OF EVERETT SERVICE <br />No, AppLICATION FOR INATER SERVICE ORDER ��}.y/)� 2 <br />�IXED � / ��„J �ATE_���1I�19r�� <br />�) <br />� DEPOSIT � W. O. <br />NO.— _ <br />SERVICE (9Y AD�PE66)_.,�.1_1�� ���� I`i� _��__BLK.___.LOLI�ADD.1�� `---"' / �, <br />i � <br />OWNE - � _____CON7RACTOR <br />< f'�L __—_' <br />C� <br />INSTAL `� METtRED SERViCS_._—__. <br />I HERE9Y APPLY FOR THE USE OF WATER IN ACCORDANCE WITH TNE ���� <br />ORDINANCES AND POLIQES OF THE WA7ER DEPARTMENT NOW EXIS7ING 7 ? 7 /'� <br />OR AS SAME MAY �E HEFEAFTER CHANGED. BIGHeo: X�-c:t_� _/f �LLlI',4�J_ _._____ <br />/ <br />MATERIALS I�/ IN. 1 1N. � 2 1N. 1 �i � PR� AMOUNT <br />I� <br />PIPE COPPER -- GALV. •- STEEL � i � <br />CORPCRATION � � � <br />CURB COCK OT __� �— —� <br />SERVICE BOX PLASTIC -- G I I � <br />— � __ <br />METER VALVE <br />_.-___._ _ __ _.._.-- .___— __—__ ._ __._ _.- _ .-_ _.- - _. _-.- <br />METER No. TYPE: I ��� I <br />- __---. _____—_—.—__.--_-..—_—..,______._ _.____ . <br />_ <br />METER BOX CONCRETE SMALL LARGE i I__i__ <br />/ DATE INSTAL.LEJ: <br />COUE I <br />REMARKS: <br />ZG (�p� ,Cr�.�. <br />O � OFF <br />LABOp pN0 EOUIPMENfpENTAL <br />/. <br />�-�' SUB 70TAL <br />HOURS RATC <br />-II� _ <br />- -- . <br />—____'-__"—___..._—'______-- .-. _ ..._-i --_. .- .. __"'_— <br />_'__'--_ ._ ___—_ -__— <br />—"__"_' __— . _ ____'__ _- <br />TOTAL <br />