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ApPL. � '. ''' <br /> rvo. O'357 APPLICATION FOR SER`.'ICE SERVICE N° 'I O O d <br /> :�c 3:i% CITY pF EVERETT WATER DEPT, ORDER <br /> � FIXED � � <br /> Cfi7 DAT ' ��a�CP, � ��J ��� <br /> � DEPOSIT s /��, -- <br /> L <br /> No.� <br /> �f' �J ` - , ---� <br /> SERVICE (BY ADDPL55).�� /�.G� r_�NL(� Z�(�!{,/�V� /^ ' <br /> OWNER_ -- BLK LOT��� .��ILL�CL ��ltll� <br /> � -- CONTRACTO � `���-�-Cti. �,�/ �c[�.n . ) <br /> - // � FLAT <br /> INSTAL�1 _M�,�� SERVIC . / <br /> � HEREBY APPLY h:�? THE USE OF WATER IN qCCORDANCE WITH THE , <br /> ORDINANCES AND p��IC1E5 OF THE WATER DEPARTMENT NOW E%ISTING �1�� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> SIGNEC: � �� <br /> MATERIAIg <br /> �N IN. � IN. � Z �-�- pRICE AMOUNT <br /> PIPE COppER-- GALV.-STEEL ' �� <br /> CORPORATION •�� II � <br /> CURB OT Ii I <br /> ��-_ I I�I�� <br /> SERVICE BOX PLASTIC •- C 1 I <br /> ME7ER VqLVE Ii I <br /> METER No. TYPE: I -- <br /> ---�---_-- if <br /> METER BOX CONCRETE SMALL LARGE � <br /> �.� . � � I <br /> —� i0 5 <br /> � i <br /> _ � I <br /> I <br /> � �-� / � I <br /> � �� ' " � <br /> DqTE INSTALLED: --r�'�'� I ❑ �N l <br /> J � OFF � � �. . . �': �� SUB TOTAL � / <br /> CODE � LABOR AND EOUIPMENi RENTAL '� <br /> I � HOUfiS RATE � <br /> I � <br /> I �. I � ;�. ' . .. I . <br /> I � , � �- �� ' � <br /> --- I �i � - <br /> , - I �; i <br /> I -- -I 'i ! <br /> I -- _—_ _ i� <br /> L-'� � <br /> REMARKS: . . . , � I . <br /> TOTAL I � �Lf��[' <br /> �G� :�'i/� `. l � � — ' , . ��,� � � <br /> ------- --- - — - ------ -------- � <br />