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� �r-.��,�9 <br />NOP �_ ' APPLICATION FOR SERVICE SERVICE N° 2131 <br />ORD'cR <br />� CITY OF EVERETT WATER DEPT. <br />, c/ � <br />� �"FIXED �ATE._� ._?. _.__19'��. <br />� DEPOSIT s �� �. �-C.� W. O. � <br />, —_ — No.-- __--__-_ <br />I SERVICE (BV AD�RE56) �n 2•C� � ��-�:-�=5 BLK. �ZLOT�� -��Do!-���3�_ <br />I OWNER��1L�� •�-�C�L CONTRACTOR._, <br />I �_ — <br />� IN5TAL�11_METERED SERVICE_ __ __ ___ __ <br />T <br />I I HEREBY APPLY FOR THE USE OF WATER IN ACCOPDANCE WITN THE � n � <br />ORDINANCES AND POLICIES OF TIiE WA7ER DEPAR7MENT HOW EXIS7ING _ I/ ''J <br />� OR AS SAME MAY BE HERE�FTER CHANGED. s�cnco: X•-��LMl..f.�_—V_J.-��r-tC��_ <br />i <br />MATERIALS I?i ItL � I IN. � 2 IN. � i. I I PRICE II AMOUNT <br />L PIPE <br />I GORPORA710N <br />URB COCK _ <br />�SERVIC:E EO)_ <br />I METER VALVE <br />METER No. � <br />i METER BOX <br />OT <br />GALV. •- STEEL <br />?LASTIG -• C 1 <br />7�_�. TVP�L-�CG � I '. <br />� - <br />CONC'iETE SMALL LARGE <br />_�%-E /�_S �;' A ,1I F( - <br />E' � �,�n l' '�if� � ,=:i.4ti L.1 � <br />1 PPiA�9 SAI�nLEt/•�Po�.t'; <br />DATE INSTALLED: <br />CODE I <br />7/ � ON <br />'r /� ( (i � OFF <br />LABOR ANnEOUIPM[NfRENTAL <br />— _ - _ - ���� —_ <br />I REMARKS: � <br />�_--._ �C.2C.`_�`!1_�.�C'-�'�-/<� � _ '__ <br />� /; � <br />SUB TOTAL <br />HOURS � RRT[ <br />TOTAL <br />