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APPL. ����� APPLICATION FOR SERVICE 9ERVICE�� �.5w � <br />No: ORDER <br />CITY OF EVERETT WATER C2ePT. <br />IXED DATE�� � _18��__ <br />J� <br />OEP081T ?jS W�• <br />❑ S i No. <br />SERVICE (�Y ADDPFe�)��� 4��`�LL- BLK.__LOT AOD.— <br />OWNER� . /-/L=�� �TT CON7RACTOR—�L�%�� <br />/�� I � FJ1T <br />INSTALt /�—.y�D BERVIC� -- -- <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE ` , <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �/, .` _ ��'� <br />OR AS SAME MAY BE NEREAFTER CHANGED. eicHeo:X t,/,�l��"' �� � <br />MAT[RIAL� ji IN.I I IN. 3 IN. I `/�� PRICE <br />PIPE COPPER - GALV. - STEEL �I I I I� - i,r <br />CO'R'P�O^�R'A�TION <br />CUR .� COGK <br />SERVICE BUX <br />METER VALVE <br />METER NO. <br />METER BOX <br />PLABTIC -- <br />CONCRETE <br />b�!.'f . <br />DATE INSTALLED: <br />u- <br />COOE '� <br />�_�n i.r _ <br />--- --'��� -- <br />TYPE: � 3f <br />9MALL LARGE <br />I � ON <br />�7� �L6FF <br />LApOR AIJD EQUIPI.1ENf PENTAL <br />AMOUNT <br />�� <br />� <br />i�l__ i I —I- -_ <br />I <br />SUB TOTAL 5% <br />� <br />� HOURS RATE <br />—I� _ <br />L q ar� _— -�lv <br />-- '-�— - - _ <br />-_ _� � <br />TOTAL O,3 ¢Q <br />REMARKS_� � L/� L,../� [�� O i � E�SI(.� �—I1 �U S-G : '�Q—_A=I-� -�c-��' ' L � �- <br />_T <br />