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APPL. /���� AFPLICATION FOR SERVICE SERVICE (�° $ 6 3 <br /> No ORDE _ � <br /> /!��77 CITY Of� EVERETT W,/�TER DEPT. DATE �,L�'�•`J `"_,9="L. <br /> J ,L <br /> , <br /> � FIXED �� � , L� ��� <br /> �/ �7 �_ <br /> � DEPOSIT g `�[7 �T�.� -r� /`- . N O. <br /> n �7 l,d',' �1 <br /> SERVICE (av AonRess) � L L� / jYL-J'JLLQ-f�'-2C'UpLK. LOT ADD. _ <br /> /�WNER CONTRACTOR_ <br /> IU.1tF-tfI .� ,/ �� FLAT <br /> 1N7TJCL�—METERED SERVICE <br /> I HEFEBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE WITH THE /'A <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING -.4C_�:��_�r._._ <br /> OR AS SAME MAY BE HEflEAFTER CHANGED. s�cn[o: r � <br /> MATERIALS �i IN.I I IN. I 2[N� � PRICE AMOUNT <br /> PIPE c OPPER�=-GALV.--STEEL _'7 � ,�� .�J�� <br /> _— f� hI/ <br /> CORPORATION �_ II�7�� <br /> GURB GOCK O� I II ✓II��, <br /> SERVICE 60X PLASTIC -- C I I I��K�J <br /> METER VALVE ` __ <br /> METER No. � TYPE: I ?5 —� <br /> METER BOX CONCRETE SMALL LARGE I I <br /> .. i � �11� <br /> '' 3' ' - �--� / 133 <br /> , ; _� _ �I�yL <br /> I I <br /> ��N I <br /> DATE INSTALLED: I � OFF '�/7i SUO TOTAL S�Lf� <br /> GI <br /> CODE I ' I LABOR AND EOUIPMENT RENTAL � NOURS RATE <br /> ��� M �' I !� �� � _�_�`�/ 7 <br /> � �' - �_ � -��� <br /> --� � _ � I� t <br /> � �., , .- <br /> I �� _ ✓I'• i,='_ - <br /> � - _--� �� � <br /> I TOTAL (I %;J�7� <br /> RE�IARKS: <br />