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��PPL• ' 9v O 7 APPLICAiION FOR SERVICE SERVICE N� 3 2 4 <br /> N�. � �I� f' 7 CITY OF EVERETT WATER DEPT. �RDER <br /> � FIXED DATE!��� _�P � <br /> o�-' <br /> � DEPOSIT s �S(1 '— NoO. <br /> SERVICE (evAo�Re7�).�� ��� d A�O S __pLK. LOT �DD.. <br /> OWNER- � �E � � �f /J $ C IJ CONTRACTOR <br /> /i� .�t� <br /> INSTALL METERED $ERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. elcNeo: X <br /> MATERIALB ii IN. 1 IN. I 2 IN. PRICE AMOUNT <br /> �'��'E COPPER;GALV.-STEEL _ %� _ "9� 5I /l <br /> 9 <br /> CORPJRATION I 17� <br /> CURB COCK OT _ ____ I I � <br /> SERVICE BOX __pLASTIC -- C 1 I �— <br /> METER VALVE _ / —I — — <br /> METER No..j�.I� ' G �/Of/ TYPE°�D�� I i9 ' -� -- � 30 <br /> METER BOX CONCRETE� SMAL LARGE <br /> „ -__- � I - -��� <br /> Ly.cL�, g� y . <br /> I I <br /> -; - �- - <br /> i - <br /> _ i - - . <br /> i� - <br /> I � ON <br /> DATE INSTALLE.):/�^ r,s-fipp SUB TOTAL /O [�� <br /> LJ - "/ <br /> CODE I �ABOR AND EpUIP�AENT qENTAL NOUR9 RATE <br /> I 9 <br /> � v �j(� [�i . <br /> _.=I� I '— J��l!I`/ II I ' <br /> � � -- � 'i � - <br /> � - - -- ----- I _ �; ' <br /> � -- - ii-r- <br /> - I - -- -- ---- i --j!-�- <br /> TOTAL I //� 89 <br /> REMAftKS: - � <br /> -i ��LL� 4,��31c-�¢�__�..�-= r r <br /> �-DGG-��-3-5�-----_9sC ;7=c/a,_.c2_i_ C�c<,/'_�:Gi�,�l� -- -- � '- <br />