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'�'�PL' ��/�� QPPLICATION FOR SERVICE <br />No. <br />?c; �-. CITY OF EVERETT WATER DEPT, <br />�' FIXED <br />� DcPO51T 5 -�(' ��- <br />�� r / li� I � �„r <br />SERVICE(BYADDRE55 "�l' � �� ��-�`�"f'�'" "�"���' 6LK. <br />) _"'� � _, <br />OWNER J �,% <br />� , CONTRACTOR! <br />FLA c <br />INSTALL�`_MET�RED SERYICF _ \ <br />1 HEREBY APP�Y FOR THE U5E OF Wn,-cR IN ACCORDANLE 'NITH THE <br />ORDINANLES piVD POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CBANGED. s�cneo:X_ <br />lAATEFIALS I y. IN I I IN. � 2 I J_jI �. <br />P�PE COPPER -- GALV. -- STECL I�.n1� I I <br />CORPORATION <br />CURB COCK OT <br />� <br />SERVICE B'JX PLASTIC -- C I <br />METER VALVE <br />METER No. _ _ TYPE: I ;E <br />METER BOX CONCRETE SMALL LAAGE <br />r "� , _.. - , ,� a O —�— <br />�f�.:�• . -, I� <br />/ I � ON <br />DATE INSTALLED: /1 �� /�:J� «�Y � OFF <br />CODE � LAOOR AND EQUICMENT RENTAL <br />I� �`� '. . I� Y� 1 <br />SERVICE nJ0 � f � <br />ORDER <br />DATE'�'_� � _19�`_��� <br />W. O. <br />PRICE <br />i J� <br />SUB TOTAL <br />HOURSI RATE <br />� ��1 . � <br />r , <br />TOTAL <br />REIdARK3: - . r , . � . � . . .. . <br />i r . . ... . ' ` .(� �� •. , _ <br />. "' �.. / —__ ..--'_. . �"—_`. __=__'—. _--_ _ <br />_'_—'__—_ _.' . __`_ _ _ .l �_ � r.._ . _ _ _- __ .. . .. . <br />AMOUNT <br />� <br />