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APPL.2 a %O <br />No. ?j0% 0 <br />FIXED 0 <br />ge15EPOSIT S 5 0/ <br />APPLICATION FOR SERVICE SERVICE N2 1 4 8 7 <br />CITY OF EVERETT WATER DEPT. ORDER //''/ <br />DATE �_I g,JL <br />W. O. No.--9 r1laI/ Sz- UN!'L sEc le-28-5 <br />SERVICE (BYADDRESS) <br />y7 /n ,7V. /� max/ ' BLK cam, LOT ADD <br />OWNER-//�/�/I1/Ay/fitN7t:/N/�G� •SL/IJ�'qONTRACTOR�LILL�G LD2S <br />T ' iry 9r <br />INSTAL�MMETERED SERVICE v / <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE /J A <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING /'/ <br />OR N SAME MAY SIGNED: CHANGED. sNED: X_(,.."(, <br />MATERIALS <br />'/I IN. <br />I IN. <br />21N. <br />PRICE <br />I AMOUNT <br />PIPE <br />COP G L,-STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX <br />PLASTIC • C I <br />METER VALVE <br />METER NO.ggy4 TYPE: I K <br />METER BOX CONCRETE SMALL LARGE <br />b7G• <br />/87(� <br />G l- <br />lc <br />1. lob <br />1160 <br />f� a�.2, , <br />_ <br />y 7 <br />a� <br />�T <br />/ <br />u el <br />I <br />_ <br />I <br />_ <br />I <br />i <br />DATE INSTALLED: <br />r -I <br />I ❑ <br />O FF <br />SUB TOTAL <br />�90 <br />5 <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />d77 <br />J 16 <br />9O <br />I <br />TOTAL <br />REMARKS: <br />