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/3�¢�i / � � <br /> APPL APPLICATION FOR SERVICE SERVICE N° 4 7 4 <br /> r���,�j CITY� EVERETT W/A� TER DEPT. ORDER �( <br /> � FI ED , � // DATE�/2��L��� 1 7'� <br /> �.G�-�e_.r-b--«-t i / <br /> � DEPOSIT s�.!-� n n! � . _--' ryo0. _ <br /> C�2 � � L';� ��L�i� �-f�.c c�.e� <br /> SERVICE (eYwonpese)—u� OLK. LOT ADD_.—. <br /> NER •CON�/TRACTOR <br /> � L� cG /� C� �--,-_ <br /> �{NGF�ki�L—FLME¢ERED SERVICF C-ru.'uJ G4-QiG C2' l�.u- `� " �r/ 1�I 1.+j' <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOROANCE WITH THE � � <br /> ORDINANCES AND POLICIES OF THE \YA7ER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. 6icNeo: — <br /> P�ATERIALS �/i IN. 1 IN. � 2 IN � I PRICE AMOUNT <br /> PIPE COPPER-- GALV.•-STEEL %'� � � � .� �� <br /> CORPORATION ' I <br /> CURB COCK _ OL_ � -' <br /> SERVICE BOX PLASTIC -- G I � I <br /> METER VALVE <br /> METER No. TYPE: I ;5 <br /> METER BOX CONCRETE SMALL LARGE I <br /> _ (� — — I — _ ��� <br /> _ r'J � I I <br /> �/ ' � � <br /> J I <br /> I <br /> I <br /> / �}��N <br /> DATE INSTALLED: �-� j ..� / / i OFF � � �� SUB TOTAL � / <br /> � � ❑ i /--. � -^r /✓) <br /> CODE I IABOR ANO EOUIPMENTRENTAL I HOURS RATE <br /> � -� r ,, - �-- � `' 3 Y"� ` / <br /> � �P �.., , n c�, f -' � L� 'i, <br /> � ` � � � i <br /> - �— -- I <br /> I � �� � <br /> i - -I --l(�- <br /> �� � TOTAL I ,��fI�D <br /> REMARKS L _ , � . i . , i�,� ____ � —. �� <br /> ___"_ __--__—_--__"- _ _ —� <br /> -�-_ . <br /> _ s= l �7s� � � rst = t • �_ <br />