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APPL �U � I � APPLICATION FOR SERVICE SERVICE N° B O 6 <br /> No. �r ORDER <br /> �G,��G CITY OF EVERETT WATER DEPT. / <br /> DATEj�����JL��/ � 1�� <br /> fp' FIXED N/6 <br /> i" �t'i� <br /> � DEPOSIT s ��J. — No. <br /> ,�� ,�p,,�/-� _y/ ��/Jl i <br /> SERVICE (e�fo-REss)/� � /I ' �`� BLK. LOT��— ADD.� <br /> y�'�(. . �/j! .-y�'LLUF-.� !/ CONTRACTO �1Z��-rL(lw?--��i�r��1\_ <br /> OWNER }���r� <br /> ��?)��� �� FLAT � <br /> INSTALL=I�_MEIG�RtO SERVIGE �—��- � <br /> T- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORUANCE WITH THE . � � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%151NG` j _T�/�_ <br /> OR AS SAME MAY BE HEREAFTER CHANGED. s7cwco� C�__ <br /> p1.�TERIAL9 {i IN. 1 IN. � 2 IN. � � PRICE AMOUNT <br /> p�pE OPPF_R• GALV.–STEEL 'J�, _ I � U� <br /> CORPORATION r I — �i=__� <br /> CURB COCK � � � <br /> �— � � � <br /> SERVICE BOX PLASTIC -- C I _ _ <br /> METER VAWE _ — — -- <br /> METER No. TYPE: I`5 _ -- -- <br /> METER BOX CONCRETE SMALL LARGE _ � I <br /> --� 31 G�6 <br /> ��'�- _ � �-.�- <br /> _ j _ �� I <br /> I _ <br /> I � I <br /> I � ON �� � <br /> ❑"OFF ���� SUB TOTAL <br /> DATE INSTALLED:� y � p _ <br /> CODE <br /> I LABOR .�NO£pU1PA1ENT RENTAL I HOUR'S RATE <br /> S i b. � � t�t1 <br /> � _ _ � � <br /> � _ � S� ,?_ 4- Z <br /> � � �- _ - <br /> �'I _ - I� ✓�II i` II� <br /> ��� <br /> �=� �' 1� <br /> � - <br /> i _ -- - ��- �'',--i <br /> � � ' <br /> — I TOTAL /�� <br /> REMARICS: �:�Ly_C / i/ � �.e�•f - —/ <br /> _T� � �- -- -` ------ - -- -- - -' .- <br /> -�__ _ <br />