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A��L. �/_�'1� CITY OF EVERETT $ERVICE <br /> No. D�l(J 1 qppLll'.ATION FOR WATER SERVICE ORDER �Io 5 518 <br /> IVr��2 <br /> �FIXED OATE__(._y�.L19� <br /> � DEr051T s Dy �,Wj'O. <br /> � BERVICE V ADD u�) BLK._ LOT�ADD.C1.b3d.LlL <br /> b3 <br /> OWNE CONTRACTOR ���� �l�1J� ���� <br /> ir <br /> IN6TAL RED SERVIGE <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � ` <br /> OIIDINANCES AND POLICIES OF THE WATER DEP�RTMENT NOW E%ISTING �__ <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. •icneo•� . . — <br /> ' M�TERIAL/ K IN. 1 IN. � I IN. I � PRICE �MOUNT I <br /> ' !'IrE COPPER-- GALV.--STEEL � <br /> , CORPORATION � _ _� _ <br /> CURB COCK OT I <br /> SERVICE BOX� PLASTIC •• G I I I <br /> M[TER VALVE __ __ <br /> METER No. TYPE: I )f _ _ _ <br /> METER BOX CONCRETE SMALL LARGE <br /> r . _—� —_ _ <br /> � <br /> � <br /> — I �— — <br /> I <br /> I � <br /> ` DATE INSTALLED: i.N�z'7�f7 I �OFF SUB TOTAL <br /> - v i a <br /> COD[ I LABOR AND EOUIPMEN'fPENTAL HOUR9 RATE <br /> � GD�f�'I�,f��jl-G J.f <br /> � I <br /> I � — - — I-- --- <br /> i � <br /> I --- --- I - <br /> � <br /> � <br /> TOTAL <br /> REMARKS: <br />