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AFPL.�� /�� Ap9LIC �Ie'[I� FOR JERVICE SERVICE �� 5 O 4 <br /> No. / ORDER <br /> 1975� CITY OF EVERETT WATER DEPT. oArE rcev 6 _,s 6a <br /> � r-ixeo ��- <br /> � w.o. �l � <br /> � DEPOSIT g I GC. No. � %f/ —. <br /> SERVICE (er�0oneeel��3 �b Heather U18V BLK. �/ LOT 1 ADD.$=11V�1 Crest <br /> OWNER_ CONTRACTOR Siuiset Bui].ders TI1C• <br /> FLAT <br /> INSTAL �� �ERVICF . - <br /> ;�_ r � �-;��_ <br /> I NEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � <br /> ORDINRNCES AND POLICIES OF THE WA7ER DEPARTMEN7 NOW EXISTING ���.� �r( j�. %'!j.- , <br /> OR AS SAME MAY BE HEREAFTER CHANGED. s�cneo: X��� . — <br /> MATERIAL3 �i IN. 1 IN. I 2 IN. I I PRIGE AMOUNT <br /> p�pg COPPER -GAW.--STEEL ,� I � r L�� 3I J <br /> CORPORATION � I � � � � � <br /> /� I � <br /> CURB COCK/ � ! <br /> SERVICE BOX LASTIC — C I I _ __ �� <br /> METER VALVE <br /> METER No. TYPE: I '+e _ __ _ <br /> METER BOX �CONCRETE SMALL LARGE �,I_ <br /> r�� 90� i � —�� ;� � <br /> v _� ��_ <br /> I I__ . <br /> i � �. <br /> I <br /> I I <br /> � ON <br /> DATE INSTALLED: FF SUB TOTAL /S b%� <br /> 3�-� S -�a � �-fr1� _ <br /> COOE � LABOR ANOEOUIPMENTRENTAL � HOURS RATE <br /> I�� � �. �, i l, I -J U <br /> i � <br /> � -- -- - � � � <br /> ; � � �, l� �YU <br /> --�� - o --- I ;� i - <br /> � _ <br /> i - � - ''--� <br /> � I q I <br /> � -- � �� <br /> — I TOTAL �fDl/L <br /> REMARKS: <br /> J • <br /> l;' �lE-tJ ------------------- ------ -- - <br /> .� <br /> � <br />