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APPL <br />No, // ��� APPLICATION FOR SFRVIC: SERVICE NO 2316 <br />E-rlxeD <br />CITY OF EVERETT WATER DEPT. ORDER <br />t <br />tB- <br />p DEPOSIT s <br />W. o. <br />�j ND. -�T�— <br />SERVICE IBYADDAtl[I 7 � r— 1 t L , '�y(,�j . <br />---1 .L--_� ` 5--BLK.__LOT-_—.—ADD._.___.___ OWNER //�.�/T'7 i �4��� 1�-`�.L/L <br />/7•' IF T CONTRACTOR <br />I N 3TALLsc_�-- <br />I HEREBY APPLY FOR THE l ES' OF WATER IN ACCORDANCE W-- <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />HE <br />ITH WITH <br />OR AB SAME MAY BE HEREAFTER CHANGED I-- <br />� MAT[RIALE YI IN. I IN. E IN. <br />PIPE I PRICK AMOUNT <br />- <br />— _ COPPER OALV -- STEEL A <br />I CORPORATION '-- <br />r <br />I�Rs COCK <br />OT --------- — _ _— SFRVIC! SOX _ PLASTIC -- C 1 <br />METER VALVE --_- _— <br />I- <br />METER No. rr---c ---- <br />YP p TYPE:H4cgsz- <br />METER BOX CONCRETE SMALL LARGE <br />�{--=w'?pp �P `f� . "jrA. Fi: fIt.Klls. — - <br />i9�4" It <br />-�(.dt.4R KSA.v�et 7 <br />Fes-- ,I'p 1►-A'- r- 4" /71 i Njl- <br />1 — <br />DATE INSTALLED: CN <br />E] OFF SUB TOTAL <br />cone <br />LABOR AND EDUIPMENf RENTAL <br />1 HOURS RATE <br />A.z ii l4 - <br />�JCI- <br />-i --- ----- — l #S- <br />REMARKS: T AL <br />