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AFPL.f � ��� APPLICAT�ON FOR SERVICE <br />No. <br />; � <;_3 �P CITY /F�EVERETT WA,TJER DEPT. <br />i PIXED ,// i <br />C� � �1� %=��j 1��,,_�� �� ~-.T ci <br />� oero:;ir Sy;Ij�� �--/<'� '. Lf/ <br />�� � <br />SGRVICE (BYADORE65)--� ���� ��� �� � � <br />C�NER <br />� v�L� .�iL'�FLAT <br />i HEREBY l�PPLY FOR THE USF OF WA7ER <br />ORDINANCE3 AND POLICIES GF THE WATER <br />OR AS SAME MAY BE HEREAFYER CHANGED. <br />MATERIALS <br />PIPE CO <br />CORPORATION <br />CURB COCK OT <br />F .!�! C. �_//�i� .l^� <br />] <br />IN ACCORDANCE WI7N THE �� <br />DEPARTMENT NOW EXISTING <br />81GNEO: ) <br />�i IN. f IN. I 2 <br />4LV. -- STEE�L I <br />SERVICE 90X PLASTIC -- C 1 <br />METER VALVE <br />METER No. TYPE: I '�S <br />METER BOX CONCRETE SMALL LARGE <br />� <br />DATE INSTALLED: rj / V�/' J G I � OFF <br />GODE I LABUR AND EOUIPAIEN'f RENTAL <br />� <br />---�� <br />FEAIARKS: <br />_' � �� <br />t. <br />G`-���. C._- t� <br />� <br />.�! �7 f ( i' �7 G", <br />SERVICE jy� 1 2 3 9 <br />OR�ER <br />� <br />DATE �� �� _19=�� <br />w. o. <br />�fC� !G.=l�� <br />l:, �---�C: <br />AAfOUNT <br />� � � � � � <br />SUB TOTAL �� �'/ <br />Y� , � ! �"—' ! _ <br />� HOURS RATE <br />� � , ;, <br />�='� Y � <br />--� � _ L�-�.�. <br />I �- ��� ; ; �;- . <br />__� � �, , ,� � <br />> � i r �� i/ <br />I i - ,-, li . I .,—, <br />TOTAL <br />---r <br />�o�,�� � <br />