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APPL. � �/� I APPLICATIOPI FOR SERVICE SERVICE N° $ 3 2 <br /> Nb. �' ORDER <br /> ��,�� CITY OF EVERETT WATER DEPT. �lf � � <br /> onTe� —�e2 <br /> � FIXED �� ��� <br /> W. O. <br /> � � DEPOSIT s � No. <br /> SERVICE (BY AGDReea) ��/� ���C��/� ���JBLK. OT '������ l�j�� <br /> OWNE -- CONTRAGTOR � �J�/�`�'� `�.�'-.`-^=� L < . <br /> /J�� FLA7 <br /> INSTALLL�METERED SERVIC -- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicrvEo:X <br /> MATERIALB �/i IN. f IN.� 2 IN. I PRICE AMOUNT <br /> PIPE COP�R-•GALV.-STEEL � I� <br /> CORPORATION _JI I <br /> CURB COCK OT I �I I_ <br /> SERVICE BOX PLASTIC -- C I ( I I �� <br /> METER VALVE ._ <br /> METER No. TYPE: I ?fi —� <br /> MHTER BOX CONCRETE SMALL LARGE _ <br /> ��.� .- ' � I__ / � <br /> / '�' %�--I- - ��- ����. <br /> � <br /> � � <br /> � <br /> / � p orv <br /> . DATE INSTALLED: Z./r L / (j � I �OFF --'"� r, � , ��_� SUB TOTP�_ r/ O <br /> 6 ( � <br /> CODE LABOR AND EQUIPMENT RENTAL HOURS it�TE <br /> I �..,, / �r > P � i�' <br /> � '% � I ;/i <br /> _ I AI A , � ,�!" � __ ��-=-�-�� �'-- <br /> - � -- - -- �- � <br /> i� ---- I __J� I_ <br /> , _�J_- -1 <br /> ---� I <br /> D TOTAL � S� <br /> REMARKS: ) �F..,' �' . /' , i .:' I �•.��_ � �: �^r � ; , � _,... •- , . <br /> / � <br /> _ <br /> ^ �L/ CJ -�J'�'L� .�� �'_� ''_�l • � � ..,1__— f '• ;r' . —_ _—f� ��— <br /> -'T <br />