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RPPL. ' 2OS 2 3 ppp��CA710N FOR SERVICE SERVICE y° � � Q S <br /> No. <br /> ORDER <br /> a�:��� CITY OF EVERETT WATER DEPT. �-� 1L ) <br /> � FIXED DAT� _�y/L� <br /> DEP081T s �� <br /> ❑ - D. ;� No°_ ' <br /> i� � � ��//(' �G ��y)� c:.-y��:.Z% <br /> SERVICE fBYADDR6ep '� / /"ci�/`-1/ c"�/ �/ �� AOD- •_"4'"'!" <br /> BLK.—a�-�-LOT <br /> �WNER�_ N CONTRACTOR �" `"tiZ-'��Y� ti'''� <br /> tLYi�u'U^_�LAT <br /> INSTAL���.SERVICE <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE _ �= <br /> ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW EXISTING u <br /> OR AS SAME MAY BE HEREAFTER CHANGED. g�cNEp: /f =r <br /> MATERIAL9 �N IN.� 1 IN. � 2 IN. I � PHICE AMO INT <br /> � �'�PE COPpER-•GALV.•-STEEL I <br /> CORPORATION I II I <br /> i <br /> CURB COCK OT � — <br /> I _^I�I_ <br /> SERVICE BOX PLASTIG -- C I I II I <br /> METER VALVE - — I -- <br /> METER No. Tl'PE: I 3; ---- � — <br /> METER BOX CONCRETE 3.NALL LARGE <br /> _—�I_ � <br /> _ �I -- — —I— <br /> - I_ I <br /> I — <br /> I <br /> � ON � <br /> DATE INSTALLED:_J��,�S����) � OFF SUE TOTAL <br /> COOE I L�BOR AN�EOUIf+M1IENT RENTAL I I <br /> HOURS RATE <br /> i ___I I I <br /> — I i — �� I____ <br /> � � �i � <br /> I _— — i � _li I <br /> i __ � — �; � <br /> � <br /> _ , <br /> � � -�-- If�= <br /> TOTAL� <br /> REMARKS: ,� r- !� ! � O � ^,I- � ' . <br /> : . � , <br /> T _ • <�___'__—•___'___ <br /> C� ._��_L'L'_t ''-=- '� �1 - �'-='l � �l ' ' r <br />