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'�'PPL� ����i. APPLICATION FOR SER.VICE SERVICE j1f°x 1 9 0 9 <br /> No. ORDER <br /> � o <br /> CiTY OF EVERETT VY,4TlR DEPT. <br /> FIXED � z J� '� DA7E�_�g� <br /> � DEPOSIT S W. O. o . . . <br /> // No.__�_ <br /> SERVICE <BYADCREBBI \��n-� `II�.L�GU�f('_ Q �/�O BLK. � LOT �� ADD. �UP�a/�.iOP��C <br /> OWNER .�-e e (/AM W/�7��P CONTRACTOR� N/F �� ' � <br /> IMST.\L� 3/y// M�ED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOROANCE WITH THE �� r� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFiER CHANGED. sicneo: <br /> MATERI?LS bi IN. f IN. I 2 �N• I PRICE AMOUNT <br /> P�PE ___ COPPER CGALV.--STEEL � ��T—��i <br /> CORPORATION J , II I <br /> . CURB COCK OT ' II I� <br /> I <br /> SERVICE BOX PLASTIC - C� � I � <br /> METER VALVE � <br /> METER No. _ TYPE: I 35 __ � � <br /> METER BOX CONCRETE SMALL_ LARGE I 1 <br /> ��7 �^ .d�� � I I <br /> � C �- � � tM -I ' I <br /> • r or, � 1 <br /> � �� DO .LfLS LUk�lc J �� I <br /> �� � <br /> , DATE INSTALLEO: /� I � OFF�� �� � � SUB TOTAL <br /> _ ! C "' L_ <br /> COOE I LABOR ANO EOUIPMENTRENTAL MOURS RATE <br /> I �,('i� P�i'�.�, _ � � <br /> � l f,�%i.c�� �2— — �I �__ <br /> • � ` � '_��c�' K '�.��� � <br /> - i�_ _ -ll I <br /> � _'_ � '� ���-- �_ -- i <br /> I T <br /> I ------------- I II� � <br /> I � TOTAL f� I . <br /> REMARKS: � ' <br /> _ Z!o(a�----------— — - - <br /> ; `,;; <br /> � „ <br /> -�_._ � <br />