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'°'F'PL• /"� � l�" I APPLICATION FOA: SERVICE ser.vice'ii�° 1 0 a 6 <br />N�' ORDER <br />^� -.' � : � � CITY' OF EVERETT �VATER �EP7. �� - . / , <br />}� FIXED DATE____=_�_� g'_L <br />r �-��. <br />C DEPOSIT S_',��_',, �— W.O. <br />—_ . % . No.—__— <br />i <br />�/, J %„ <br />SERVIGE1e nooRess)_'` G=�.7 �� �-�'-- OLK. LO7'_��_qpD. <br />i � �, i � ),� - <br />OWNER.i�� -� —.CONTRACTOR <br />. , �____' —_�—____--- ___—" <br />%� � ; FLAT <br />INSTALL! F1EF[}KII'SERVICE_____ <br />1 HENEBY APPLY FOR THE USE OF WATER IN ACCOPPAN[E WITH THE: I n � <br />OFDINANCES AND POLICIES 01 THE WATER DEPARTMENi NOW F%ISTING '�\ II <br />OR AS SAME MAY BE HEREAFTER CHANGED. SicNeo: X�� ��,{�.����y \4q=_ <br />MAT[RIAL9 y IN. IIN.I21N. I L� PRICE � AMOUHT <br />P�PE __ GOPFER-•GALV_STEEL __} �I—�' I � '>ti li I I ��'� <br />CORPORATION <br />�CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />PLASTIC -` C I <br />_ __'_' _ TYPE: I q{ <br />CONCRETE SMALL LARGE <br />n CN <br />DATEINSTALLED:_ OFF <br />—__— _' 't. r ❑ <br />CODE I LABOR ANO Epl11PlAENT R[NTAL <br />�! r.I ! _ __ __ <br />j—�, _ -- <br />� <br />�-' '— ------ <br />REMARKS: <br />� <br />SUB TOTAL L � �- <br />� HOIIR� RATE � <br />II--' �-� <br />j '��' � i : - <br />__ � , <br />I � — � I � � <br />II I <br />�'� i � �� II =' I � . <br />TOTAL I� ,3� <br />.. _ __' __"' __ _ � <br />