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pppL �,.� �� 7�PPLICATION FOR SERVICE� <br />"�. � r� 8¢5 � CITY OF EVERETT WATER DE <br />� FIXE� <br />�r'. <br />EPOSIT � �_ <br />SERVICE (BY AO�DRES � � / ��`-"`^�– ���LK._ <br />OWNER / L--"1-�� �-a n/L �(! Gr CONTRACTOR_ <br />/ Ir �;,r <br />INSTALL.�METEREO SERVIC� <br />I HEREBY HPPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NO\4 EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. s�cr+6o: XfL <br />MATGRIALS I�,�i IN.I 1 IN. � 2 IN. <br />p�pE COPPER -• GALV. •• STEEL _ _1� � <br />CORPORATION � I <br />GURB GOCK OT I <br />SERVICE BOX PLASTIC - C I � <br />METER VALVE __�_ <br />METER No. /�C1 t��. TYPE• I:'fi <br />METER BOX CONCRETE ��✓�'`�~� F'+MA�L ARGE _� <br />_ U"'�.=�� <br />i <br />�'-ON <br />DATE INSTALLED:C,_�y `7/ � OFF <br />O <br />CD�E � LA90R AND LOUIVMEN'f RENTFL <br />REtdARKS: <br />SERVICE'y� 1 48 /� <br />ORD¢R <br />PT. <br />DATE_ — � 6 —13 � I <br />W. O. <br />No. ' <br />ar✓.��, s�. 1��2e-s — <br />��� <br />PRICE AMOUNT <br />Q 2 /�1130 <br />SUB '.'OTAL /I / " <br />,, , , h l� / <br />I HOURu RATE I� <br />� �i <br />( I <br />I � <br />I�_ _--li — <br />��_� i! 3710? <br />� 3 �- II % IOO <br />� �� �_ <br />i I�� <br />TOTAL I,/(p O I�� <br />.--_.— __._ _ � <br />