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qpp�,��� APCLI�A�ION FOR SERVICE SERVICE �° 'I H/� <br />No. � F- � � ORDER <br />CIiY OF EVERETT WATcR DEPT. /� � <br />DATE'_"� —19� <br />IXEO -� <br />v �� <br />� DEPOSIT � �?�� No� <br />�/��77 <br />SERVICE fovnooness) n <br />.� � l V �-1%/°✓%��.'i � BLK.2`J '/LOT"A'3�?CO'O.—.Q��� � <br />OWNER���='�---{-"��� �v�— CONTRAC70R. <br />e / Fdr!T.. <br />INSTALI—�--METF_RED SERVICE.— - <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEfiEAFTER CHANGE�. swr�eo: X- <br />MATERIALS I��� IN.'� 1 IN. � 2 IN <br />PIPE <br />CORPORATION <br />CURB COCK <br />SERVICE ESOX <br />METER VALVE <br />METE4 No. � <br />MF_TER BOX <br />/.�G _` <br />�COPPE�- GALV. -• STEEL <br />OT <br />FLASTIC - C 1 <br />�ATEINSTALLED: - <br />� ' <br />COOE � <br />__� /.�1�...0�r,n. <br />i <br />�l�i --'. = <br />LARGE <br />� � ON <br />� OFF <br />LABOR AND EOUIPMEN'ftiCNTFL <br />REMARKS: —_ � � <br />_ -_' __. _..____.._ __ � <br />JcC_� <br />. �.�f-�%� <br />PRICE (1 .1MOUNT <br />_ SUB TOTAL <br />HOURS I RATE <br />TOTAL II � <br />--__ . .____--_ —� <br />