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APPL. �3r� 9 � CITY OF EVERETT $ERVICE �, 7 �j � <br /> NO. � ORDER NO. [_. r <br /> APPLICATION FOR WATER SERVICE oarC�l��—taLr,.z. <br /> � FIXED � <br /> � DEPOSIT s OQ� N O. <br /> • SERVICE (BY AD�REBY)�� _LBLK._ L0T1�dAlY�!['"^_� <br /> d <br /> OWNE _ _CONTRACTOR <br /> // <br /> INSTALL�L—�RED SERVICE .— 7� <br /> I HENEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ��(/ <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING ,L/' �_ �/(""Q � • � <br /> OR AS SAME MAY BE HE(iEAF7ER CHANGED. eicr+eo: %Z1��"�-��V' <br /> MATEPIALS I }i1N. IIN. � 21N. I I � PRICE AMOUNT <br /> PIPE P 0.S /G COPPER•-GALV.-STEEL _ � <br /> CORPORATION � ��_ _� <br /> CURB COCK OT f I <br /> SERVICE BOX PLASTIG -- C I I _ <br /> METER `VALVE _ <br /> METER No. 7VPE: I ?1 _ _ <br /> M'eTER BOX CONGRETE SMALL LARGE <br /> ��O SDI�� � U.�fY"t _ '� I _� <br /> �S7 Go��M 1 XJ l�v�-�. S�� � <br /> I <br /> — ——I — <br /> I I I <br /> ���((( ON <br /> • DATE INSTALLED: �(/ � Q I � OFF SUB TOTAL <br /> V <br /> COOE I LABOH AND EOIJIPMENf f1ENTAL � HOURS RATE <br /> I � ��I �� <br /> i k.An�i •� <br /> i �z/II I .S " -- <br /> � � �� -� _ �"3So5 I 5 " <br /> i G asl " <br /> i _ ---- - --�_— <br /> TOTAL <br /> REMARKS: <br />