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� ��/ �Z / � AP�LICATION FOR SERVICE SERVICE NQ 2374 <br /> , NOPL. �. I IUZ , ORDER <br /> CITY OF EVERETT WATER DEPT. / <br /> DATE__!�/�=--1g�SC <br /> � FIXED <br /> LYC/' W.O. <br /> �.. � DEPOSIT f ��J� No.—_—_ ------ <br /> ! SERVICE (sr�DoaEce7 I �I lfi_�{,�j�y.� ___BLK.� 14• L0T2-`?z�'DD�v'"t�\��' <br /> I OWNER C����f= `e7�.L`�R.�__ CONTRACTOR --------- <br /> ! �� p�T. <br /> ; INSTAL� �+1ETERED 9ERVICE,---- - / —— <br /> I I HEREBY APPLY FOR 7HE USE OF WATER IN ACCOROANCE WITH THE j��I <br /> ORDINANCES AND POLICIES OF TNE WATER DEPARTMENT NOW E%IS71NG �;` 1i�(���72���� _ <br /> � OR AS 511ME MAY BE HEREARER CHANGED. siaNco: X 'L. --- <br /> MATERIAL! 3i IN. 1 IN. i 2 IN• I PRICE AMOUNT <br /> • ^,-I- --� <br /> ! p�pE OPPEF - GALV.-- STEEL I< I I I_ — <br /> --r— <br /> ! CORPORATION _ ,_ _I_ � i— —J-- -- <br /> - CURB GOCK �T �I — <br /> SERVICE BO% PLASTIC •- C I I _ _. <br /> METER VAWE � -- — -- --- <br /> METER No. �J U _� ' ---=-TYPE:�r1 /TS���I�'� — � _ _— — _ _ _— - <br /> METER BO% CONCRET� SMALL _ LARGE _ � _� __ _ <br /> �--- G7`__- I <br /> �� �'� e7�JJ�!-'IJ.4�=r���'i•G L.. - —I I -- — <br /> r- �:, �`j��'�n__ �-�� I�-- -- — <br /> K - ---�-� �—�— --- <br /> �<rL�Pss���_— -- � I <br /> � -- --- —��� I�i, --- <br /> ON <br /> I�DATE IN�STALLED: ��_.Z/� � � I � OFF SUB TOTAL <br /> � COOEI I LABOR ANO EpU1PMENfRENTAL I HOURS PATE <br /> I__I -O�I,��__'-. _-I� .- <br /> I � ---- �/l�E1l, � .S'" _ -- -- <br /> �-� ���-' � .°� /-1_-- - i ��- -- <br /> � � ��-37�----- �--- - --- - <br /> i � — �3--- --_--- j_-- - — <br /> -- - - - <br /> —/ - - --- -- --- � <br /> �� � �'/�e Q/J � � .Sr. !-�./" t <br /> I TOTAL <br /> ; -- <br /> I REMARKS: p - ,__ ...___-------- <br /> i �P(�� � r_-.- - - -- - <br /> �r ' <br />