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APPL.���� -APRLlCATION FOR SERVI:E SERVICE N° 2013 <br />No. ���Tll ' ORDER <br />I / �� �� � CITY OF EVERETT WATER DEPT. ,!�"�/ --� , (� <br />� fIXED DATE_�— `" .�19�:�2_ <br />'� DEPO5IT S SC-�r C�CJ N O. <br />I SERVIGE (BY ADDREy95) �/��/'' �`,�`-TOi(/ _BLK���l��O�i � AD �jl �7 � � ',.j_ <br />� OWNER � IT/ ��I/' G�V��TT CONTRACTOR�US%i� /•Q.�4J�/�'"_L� <br />� � J�lF <br />� INSTALL _ME7ERED SERVICE <br />� I HEREBY APPLY FOR iHE USE OF WATER IN ACCORCANCE WITH THE � <br />1 ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW EXISTING � �� .� � <br />OR AS SAME MAY BE HEfiEAFTER CHANGED. .atcNw: Y ���� P�— ! ���-•-� , <br />MATERIAL6 ?� Iry, � � IN. � 2 <br />� PIPE COPPER- GALVfSTEEL <br />� GORPORATION � <br />CURB COCK OT I <br />SERVICE BOR PLAS7IC -- G I I <br />METER VALVE <br />METER No. _� 7YPE:����F _ _ <br />METER BOX ONCRETE SMALL ARGE <br />`�O ° �'�'/v ei/1 -- I � <br />-Iy <br />i '7 a ✓ � M %-'�f / � � 7 . _ .� / .. .. <br />�� " /�c'A <br />' � � �� <br />! _.S'O'� - O, <br />I DATE INSTALLED: <br />C�� <br />_ I l .I . �9. • <br />�/ <br />'✓ / C oN <br />- � J - '�' i`� � OFF <br />LABOR AN� EQUIPMEN'f R[NT�L <br />/ <br />I REMARKS: " • <br />I —�� _ � <br />i ' <br />PRICE II �MOUNT <br />� <br />SUB TOTAL <br />i !1AlI RATE <br />