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1ppti.,���� APPLICATION FOR SERVICE SERVICE N° � 'I U � � <br /> N�. </ <J CITY OF EVERETT WATER DEPT. ORDEf/�,� <br /> �L f�/ DAYE�" �C% �� _19'� <br /> �'FIXED <br /> � ��' <br /> � DEPOSIT s i W.O. <br /> No. <br /> �,� 30 �- � ' ' ? , ������r/ -� <br /> SERVICE (eY ADDReae) ,/ ` '� / <br /> � � � L2-I r.ecL " ''�e �o �. C'eti <br /> �I� `' / <br /> OWNER— CONTRACT6 <br /> `�II-')� ��� FLAT � <br /> . �_f�D SERVICE — — <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCCo�ANCE 1YITH THE � <br /> ORDINANCES AN� POLICIES OF THE WATER DEPARTM.:WT NOW E%ISTING ' ,r, <br /> OR AS SAME MAY BE HEREAFTER CHANGED. s�eNeo: X. — <br /> MATERIALB �i'I IN.�I Iti. II ^ If • I � PRICE AMOUNT <br /> PIPE COPPER--GALV.-•STEEL Z I I _ , �7 � <br /> 1—�— �— <br /> CORPORATION i II� I <br /> CURB COCK OT I �I II�, <br /> SERVICE BOX PLASTIG — C I � I �I � �(.JJr <br /> METER VALVE � __ __ _I__ _ _ � � <br /> METER No. TYPE: � 45 <br /> METER BO% CONCRETE SMALL LARGE I <br /> - -� -- � /�,°o <br /> � l— I — /Uo- <br /> � �— — j <br /> I <br /> - I I <br /> - I i -1- <br /> ` ON ^ <br /> DATE INSTALLED: � Z r L^ � I �FF /�' ��� � (-- SUB TOTAL J <br /> CO�E I L�BOR AND EOUIPMLNTIiEN'iAL � HOURS RATE I <br /> I 'L I . ' ' <br /> r � , .� r- ? «� i , � <br /> I_ � ��- <br /> � i � _ <br /> �� <br /> ' � I I � -- <br /> i ----- -- I - - ii I <br /> - I I`-���_� <br /> �� I � � TOTAL �.V�, <br /> ,� _ <br /> _ RL'MARKS: J p• r . 1 �. p ��� � r . �.\ ., , . � �f%' UP .1;-• i ...�—�'=ii.i� :'i�.� <br /> /1 1 <br /> __�L)� 1�.��� n—C:_!i •; . •_—YJ��,��_!1'—_'__�-�` � <br /> i - ----- <br />