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- �o��e - <br /> MP�• 2 � -7� � APPLICATION fOR SERVICE BERVICEN� ���5 <br /> No. ORDER � � <br /> CITY OF EVERETT WA7ER DEPT. E�� � �1e� <br /> ED DAT <br /> � DEPOSIT s Q �� O. <br /> D�O / �� E/�1�"/�O N <br /> 8lRVIC[ <eYwDDltu�) �SS �� ,$ Q�,^1 BLK. / Lf��J'ij ADD.�t{�/ <br /> OWNER. � / FLAT � ' / /' �N N�/nCONTRACTOR LL �fO,L1 r�� . <br /> �� -L.�.�(.L-1�C <br /> INSTALt- /'� I��DERVICE <br /> 1 HEREBY APPLY FOR TXE USE OF WATER IN ACCORDANCE WITH THE � -����_ <br /> ORDINANCES AND POLICIES OF THE WATER DlPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEREAFfER CHANGED. eicNeo: X. i'- A�1 .. <br /> __ MAT[IIIAU I }� IN I IN. � 3 IN. I � PqICE AMOUNT <br /> P�PE COPPER-•GALV.-STEEL � <br /> CORPORATION � <br /> CURB COCK OT I <br /> SERVICE YOX PLASTIC -- C I I <br /> METER VALV6 � <br /> _MfiTER No. TYPE: a� <br /> M6TER BOX CONCRETE 9MALL LARGE <br /> — — I <br /> __I — — — <br /> I <br /> —_-- I — --- — <br /> � I I �- _ — <br /> I � ON <br /> DATE INSTALLED: � OFF SUB 70TAL <br /> COOE � LABOR qND EOl11PMENT RENTAL HOURS RAT[ <br /> I <br /> ,i - . —__- __i - <br /> _'_I __"__ I —" ____ <br /> ___ '__ I —_ ____ <br /> —_- I -_ ____-__ __'__ �- __ <br /> �� I �— <br /> TOTAL <br /> REMARKS: � , ' - <br /> l J1 � t_ `' � P r � ! �. <br /> —_ -f--y-�,_._— —__-___--_ ./- —� <br /> / Gr> <br />