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/ - . <br /> � <br /> APP .�-+����� CITY OF EVERETT ��'����E � � I <br /> �o. a GRDER NO. J �% � 2 <br /> - APPLICA710N FOR WATER SERVICE <br /> / <br /> FIXSD DATE� —l0� <br /> U � W.O. <br /> � DEPOSIT s ';�� ' No._--�� <br /> � �7—za�� ��04 ..-.���--- <br /> SEFtVICE (erwoo�nn�'�U � n "' f�L'� ` BLK._ LOT�Aon.,�`��-� <br /> � <br /> OWNE ' "LYL CONTRACTOR <br /> ✓¢� FL.M . . � <br /> INSTAL M TERED SERVICF � — _— — <br /> I HEREBY APPLY FOR THE USE OF WA7EN IN ACCORDANCE WITH THE 1 <br /> ORDINANCES AND POLICIES OF THE W�TER DEPARTMENT NOW EXISTING \ <br /> OR AS S�ME MAY BE HEREAF7E�7 CHANGED. s�cr+eo: X - ����`�-Q�� <br /> M�TERIALe �i IN. 1 IN. � �. I PRICE AMOUNT <br /> p�pE ' A,S ��, COPPER--�'ALV.-STEEL. � <br /> CORPORATION ��� rj�QS � _ - <br /> CURB COCK OT � — <br /> SERVICE BOR PLASTIC •• C I I —. <br /> METER VALVE ��-7j ____ / —----— —� <br /> METER No. SZ�Ip VY'Q$STYPE: NC�YSP4 I_ ���_ _ ___- ----- <br /> _ � � <br /> METER BOX CONCRET �u$7/L SMALL LARGE _L_I __ _ _ <br /> �~�(�1� .JGi� w '1!'• �i.14�%7 .' J __ _-- — <br /> L' 7. ,— � I <br /> �3 .- � � --i - <br /> --�- -- - -- --- -- <br /> I I <br /> ON <br /> DATE INSTALLED: � .� � ,� C� � OFF SUB TOTAL <br /> Gl <br /> GOD[ � LABOP AND ECUIPMEN-f RENT�L HOURS RATE <br /> -j -�': T.-X _�t��� -- <br /> -i L�, .�t713 " -- <br /> -� ��b -_ _ #z i/ I,� ,, . -- --- <br /> i _ �'��R 13 �' <br /> -II - -- I <br /> � � <br /> �- 70TAL <br /> REIAARKS: __ <br />