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. 2073� . - <br /> APP�"' � �J .S APPLICATION FOR SERVICE SERVICE{V° � q 7 g <br /> N�� ORDER <br /> CITY OF EVERETT WATER DEPT. <br /> IXED DATE�_ �I <br /> �0�� <br /> 18__ <br /> � DEPOSIT S �ZS.�— W. O. <br /> No. <br /> SERVICE �ev�ooqeeei�� �����-� � ���yS � <br /> BLK.�LO'f AOD.� D D <br /> OWNER�����_,�-����.___CONTRACTOR_ S.4'/�CE <br /> INSTAL� l��.-_�����p:gEApA� _ 7// E��.�r <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � �J� " <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING � <br /> OR AS SAME MAY BE NEREAFTER CHANGED. s�cNeo: a � � <br /> MATERIAL9 ji IN. 1 IN. � Z IN. I_�_ PRICE AMOUNT <br /> P��'E OPPEF2-•GALV.—STEEL � � I � I'!� <br /> T <br /> CORPORATION II .±i�� <br /> .J� <br /> URB COCK OT � ' <br /> � ���Q9.� <br /> SERVICE BOX PLASTIC -- C �— � I �p� <br /> METER VALVE �� <br /> METER No. TYPE: I qb <br /> METER BOX CONCRETE SMALL LRRGE _ I <br /> � ��--- ��-�' <br /> _� � I <br /> _ I _ _i _ <br /> � �� i <br /> ON <br /> DATE INSTALLED: � �� i <br /> �, ... 7 _ -J / � OFF � � " `�I'� SUB TOTAL /�' / <br /> � r <br /> CDOE I LABOR ANO EOUIPMENTRENTAL I <br /> HOURS RATE <br /> ibr',;. , _ I ,-! o�� I <br /> I/ ' ' ..i / — I_��_ �I � i <br /> i �.�._.�-_-_ _ �2 � <br /> I I� I <br /> �- I I! I <br /> -l__ � -i�L-. <br /> i � � / � �� <br /> v � <br /> TOTAL ¢7 ,SO <br /> RE1.1ARK5: <br /> _---�� .___. _— — —_______.—__—__—_—__ �_ <br /> _+c_',_. <br />