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qppL,�,�SS - APPLICATION FOR SERVICE SERVICE NQ 'I 'I 2 � <br /> No. ' <br /> ORD <br /> �G,��-j CIT'f OF EVERETT WATER DEPT. �) <br /> DA � � —1 "7 <br /> � FIXED <br /> ^7 r <br /> DEPOSIT s �o"J,�� W.O. <br /> � �NqJ�.�� <br /> LLL1�G� � �� v' r C'✓ly __{' <br /> SERVICE <ev Aoonees> ���� �'--�L"K/. � LO � DD. /j'_ <br /> ✓{� � C�''l� <br /> OWNE CONTRAC�OR �� � `"`���sz� <br /> -. �t/_ " FLAT <br /> INSTAL� � MCTCi4�SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE ��/ ,�� /)��/��(�� <br /> ORDINANCES AND POLILIES OF THE WATER DEPARTMENT NOW E%ISTING (j' <br /> OR AS SAME MAY BE NEREAFTER GHANGED, s�cNEo:X . <br /> i <br /> M.ITERIAL6 �/� IN. 1 IN. � ^ IN. � PRICE AMOUNT <br /> p�pE �OPPER-- ALV.- S7EEL _ �� � "58 3I��' <br /> CORPORATION _�i �+�/ <br /> CURB COCK OT � I I ��� <br /> SERVICE BOX PLASTI�- C I � I I�. <br /> METER VALVE __ <br /> METER No. TYPE: I 35 <br /> METER BOX CONCRETE SMALL LARGE , <br /> I <br /> _—i — �I� <br /> I _ _ _ <br /> I <br /> I") / <br /> ( � ON � :� �j'� SUB TOTAL 'L <br /> � DATE INSTALLED:�!.1 � /(� - 1n C I �. OFF �...� ' "� I7 8 <br /> / t Y� ��i. , . i. <br /> CODE I LABOR AND EOUIPMENT RENTAL I HOURS FATE <br /> � _ �? +�,, � v�` �. %�' ;f� � -'�- <br /> I �� j �; I <br /> -- - -� , �� � ') -�. �:�� II 7 I �"s ;. <br /> � T =i_ ' ,-- - — <br /> ; , �. � <br /> i — '--�— II I _ <br /> � ' i �_ .�, s�� � � : . <br /> � I� <br /> I TOTAL �� � (CJ <br /> �/ <br /> REMARKS: <br /> , <br /> v �/.��? 7 • <br />