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^�P��1 /��y�,�°' APPLIGATION FOR SERVICE SERVICE No 2��2 <br />i No. Z`�jl!) LJ OR�ER � <br />� CITY QF EVERETT WATER DEPT. <br />i Q'FIXED DATE�G/-� _�g7� <br />� DEPOSIT 5 L, •�O W. O. <br />nlo. <br />� 70�. � <br />/2�� //n , ,{ <br />I SERVICE car wooness) � � U�_ BIK.! �S(LLO7j� �_SIL_App_�.P11uaY71 E,�ti� <br />� OWNER L e =_1L7��=•ZFj.t/ <br />CONTRACTOR . - <br />� 1' FLAT <br />I INSTAL��_METERED SERVICE <br />, 1 HEREBY APP y FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />� ORDINANCES AND POLICIES OF THE WATER OEPARTMENT NOW EXISTING <br />� OR AS SAME MAY BE HEREAFTER CHANGE�. sicneo:� <br />MATEfiIALS I�/ IN � 1 IN. � 2 IM. <br />r� PIPE _— COPPER�- GALV. -- STEEL � � <br />-��-�� � <br />i CORPORATI6N I �I <br />I CURB_rCOC� OT � <br />� -1�_�- <br />I`SEF. ;:= E BOX� PLASTIC -- C 1 <br />I IdETER VAWE ~_I <br />� METF� -R No• TYPE: —�–'— I i5 _I �_ <br />f----- ____ ____ _ <br />� METER BOX CONCRETE SMALL LARGE <br />� <br />PRICE �� A110UNT <br />� I �} ON � <br />I DATE INSTALLED: /_� � -7 j O OFF SUB TOTAL <br />[O / Y <br />�1 ooE I LA�OR TNO [OUIPMENf RENTAL I HOURS RATB <br />�I <br />! , ----------�--�--:f ---�1�--- <br />i_ � ` `" . _. _ <br />i -i <br />� ---------0- (-- <br />�--; ----- <br />REMARKS: n�„ _ __ <br />� } <br />_ __ _! _—�:. _. <br />� <br />TOTAL <br />.., .:, .':..._.... _ , . ��.:-�.:.� . . . J.:i... . . _., � . �.. _. ...,�.,. , _ . ._� . . . ....: . . .:..�� ._ � : ; .. �_.� <br />