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i7 q�,� APPLICATION FOR SERVICE SERVICE�+�° 1 1 18 <br /> APPL. ORDER <br /> "9�' q C1TY OF EVERETT `�NATER DEPT. / <br /> / � �/ .� DAT ��� �.�-1gV y <br /> � � �, � ��,.�J6 <br /> � FIXE(� L��'7'�'✓ .." . W.O. <br /> � DEPOSIT S��C . N�� <br /> SERVICE (�Y AODRE641 <br /> 17 �✓� ���� 6LK._–LOT--ADO. — <br /> CONTRACTOR_ — <br /> OWNER / — <br /> j FLAT _ <br /> INSTAL��� SERVICF _�� <br /> I HEREBY APPLY FOR TfiE USE OF WATER IN ACCORDANCE WITH THE � <br /> / <br /> ORDINANCES AND POLICIES OF THE WA7ER DEPAR7AIENT NOW EXISTING s �H`p: X — <br /> OR AS SAME MAY BE HERERFTER CHANGED <br /> IN 1 IN � Z IN I�^. PR�C� AMOUNT <br /> MATERIAL9 � � '� �I/ ` <br /> � � Ci <br /> P�PE _ COPPER -GALV.--STEEL II I <br /> CORPORATION -- <br /> i '� ��ioy. <br /> CURB COCK� OT — —I I� /.lI/I � <br /> ----v 1 l-_�r�_. <br /> SERVICE 60X PLA571C�•• C I — <br /> � <br /> METER VALVE ______ —I— ---- '-- <br /> METER No• TYPE' -- ;b —_ <br /> METER BOX CONCRETE SMALL LARGE __ I /I� <br /> � J <br /> �.�,.��° � - -- 3iC� <br /> �L i -i - � <br /> _ o _L — a <br /> -- I -� <br /> I I � I <br /> I u �N SUB TOTAL �D 7/� <br /> DATE INSTALLED:fo f 4 � OFF �� __ <br /> � ^– '"' ��� <br /> HOURS RATE <br /> CODE I LABOR ANO EQUIPMLNT RENTTL � y I <br /> � 'S � ' � <br /> II� ' ` I — Y—�.;li , ' II __ <br /> �� � p� i% <br /> �,'�'rs�"�``��-- I� � _ � _ <br /> il <br /> � f� I <br /> �i- --- _ � �i—L— <br /> -- — -- , � <br /> j -. - �- , <br /> __ I TOTAL �7�-IJ/� <br /> REMARKS: e ____ _-- ------ �' <br /> _– ____'_—' <br /> ___� <br />