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� ��I� A►PLICATION FOR SERVICE SERVICE N� 2� 64 <br /> � � N� ���-� (,� ORDER <br /> � CITY OF EVERETT WATER DEPT. <br /> � DATE � —197�� <br /> �FIXED <br /> I �EPO£IT s C-C`��,7. �^� W. O. <br /> � No. <br /> {� y��) c— �F=?J., A(z1C <br /> � £ERVICE�YAOORE88)���'_�--` L•��F-''I ��n ' ✓��-- BLK. �� LOT =� NDD. � <br /> I UWNEr+�hi1UL: JGJJL`��___ —CONTRACTOR <br /> � INSTAL 'J TERED SEFtVICE— �- <br /> I I HEREBY APP�THF. USE OF WATER IN ACCORDANCE WITH THE <br /> I ORDINANCES AND POLICIEa OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEfiEAFTER CHANGED, slcNeo: . <br /> � MATERIALB �/i IN. 1 IN. � 2 IN. � PRICE AMOUNT <br /> � p�pE COPPER-- GALV.•-STEEL ,,;,j� � <br /> I CORPORATION � _ - <br /> CURB COCK OT I I _ <br /> f SERVICE BOX� PLASTIC - G 1_ I _I - <br /> ��METER VALVE _ -- <br /> �� METER No. TYPE: - _— I �b _ ___ _ <br /> � METER BOX CONCRETE SMALL LARGE ________ _ <br /> � �.11N" �T _ 2 � I-I-- <br /> i � •3/y"' c6i� --u'i�� --I --J— <br /> �— - I � <br /> I — I� � � <br /> � <br /> � SUB TOTAL <br /> + DATE INSTALLED: U._ ��7�; � OFF <br /> � / <br /> 1 coD`� I LABOR ANO EOUIPMEN'f RENTAL I HOl1p5 RATE <br /> ~_I C�A'/hr1` --� i� <br /> i i n. s�°H�S�z I NH�, _ <br /> � I �' vi7 —�-�� � `iH� — <br /> i �� —�.J � - _ �J N/ <br /> i i <br /> �f I <br /> i i - �_ _ <br /> i � TOTAL <br /> I REMARKS: _ _ <br /> 1 - <br /> "�e_�_' __�_ <br />