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A�'PL' '� '�O�/� APPLICATION FOR SERVICE SERVICE N° g 6 2 <br /> No. ORDE <br /> ��3�� CITY OF EVERETT WATER DEPT. ))) <br /> �'� /� � / <br /> � FIXED � DAT �[��'7 `� <br /> �,:,� � _t�_,L <br /> � DEPOSIT s �! <br /> W.O. <br /> r� / � NO <br /> SERVICE (BY AODnE86).i--^�C� ! � e'--� / �J +- /1 <br /> i <br /> C�C?�,i� O.-�;�'� <br /> � - L{E .�,IOLK. LOT.�L_�_ADD. <br /> ✓ � <br /> OWNE _.CONTRACTO 7 C �t-7�� <br /> _.��` FLAT � <br /> INSTAL� � <br /> •AtE�'£RC�SERVIGE________ <br /> I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE WITtI THE \ <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. 6lcrveo:>;_. ' � <br /> IA.\TERIALS �� i IN. � 2 IN. � �I�— PRICL AMOUNT <br /> �'�PE COPPER•- GALV - STEEL � I �/ �I�n <br /> CORPORATION -- I — - --rp I I�6-- <br /> CURB COCK OT I - �i—�- <br /> SERVICE BOX PLA571C -• C I / I � �i �J� <br /> METER VALVE - ' <br /> �AETER No. TYPE: I ?6 — -- — � <br /> METER BOX CONCRETE SMALL LARGE <br /> - T ! - �j� <br /> L -i _ _ I/� <br /> I _ � �- <br /> -I- I <br /> ///��� I � �-I- <br /> DATE INSTALLED; � /r t I� � I � pFF F I J. � � `,_,� SU� TOTAL Cl p <br /> 3 O <br /> CODE I LABOR ANO EOUIPMENT RENTAL � HOUR6 RATE <br /> � "'_1 Y J'i �J'.� � �%i',. ' <br /> � / <br /> I/- �- ��r�E� L � r--- _��- _=i, -• �� <br /> � �� � II � - <br /> � --- - i � <br /> � I i� t <br /> � i; ' <br /> � --- - � � <br /> I �TOTAL I�� �I� <br /> REMARKS: Se� I L� l !' �� ' • ���,� �. �r .. . � _ � <br /> • � � __'_.__ /, � � <br /> _../- i � ..� �. 1_ . ' �-- -- _ <br /> ._'__"-"_'_`�_"- . ...__"__ ..., � .f. <br /> ..--"•7' <br />