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NoPL��S�` APPLICATION FOR SERVICE SERVIGE jV° 1 8 i S <br /> ORDER <br /> CITY OF EVERETT WATER DEPT. '; <br /> � FIXED DATE�G�-191� <br /> �00 W.O. <br /> � DEP091T �� No. — <br /> SERVICE (erwooxus)�v^ �� ��== VE BLK._SJ_J�LOT �L ADD. <br /> OWNE �R��`- �R LrU S CONTRACTOR <br /> 3 '� <br /> INSTAL ETERED SERVIC qqq /�/--�_��� <br /> I HEREBY APPLY FOR THE USE OF R IN ACCORUANCE WITH THE �/j�I //��l�/��v�'�' . <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENi NOW F.XISTING <br /> OR AS SAME MAY BE HERE�FfER CHANGED. s�cNeo: �( � � ° <br /> MATERULB }i In• 1 IN. � 2 1N. I PRKE AMOUNT <br /> p�pE ��-GALV.-STEEL � I <br /> CORPORATION I�1 I <br /> CURB COCK OT II _ �I I <br /> SERVICE 80% FLASTIC -- C I _�_I I I I _ <br /> METER VfWE _ -_—_— - -� <br /> My.�.R No. ��� TYPET• -I� — - _ _ - _ —" <br /> METER BOX CONCRETE `C r� AL LARGE �_ _ <br /> I <br /> , I_—I — — �I- <br /> I I <br /> � <br /> I <br /> DATE INSTALLED: �f 0 OFF <br /> ID�IfS��� SUB TOTAL <br /> COOE � LABOR ANO EOUIPMENTRENTAL J HOUR9 RATE <br /> I! Ae,�ee � i � _ <br /> '�ii���o�t_�1�;�1---��3— I L— — �— <br /> s y 6 _I�C� ! ' <br /> —s�a��.�Gtt_s+�� — -- ' -- <br /> _--'__�.eey�e��.u��_a��� _ � k--- ---J' � -- <br /> �---__�� '-- �-�- <br /> �-------- <br /> — I TOTAL <br /> REMARKS: NEw 5'�_R��� ��,�/F�.�O�✓- 04A �LD�r • . <br /> � <br />