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qpp�/ ✓��� APPLICATION FOR SERVIC� ORDERE y� 1 II 1� <br />No. 0���� <br />CITY OF EVERETT WATER DEPT. <br />DATE_ �C��__19'_= <br />IXED �7 J <br />� DEPOSIT 5�! � / No0_ <br />/ �/.���/7OqLC� <br />SERVICE (BYADORE65J -�"� 0 Z � ��NQ�BLK.�/ LOT._�/ FOD.-�--1<`'�— <br />OWNER� f,��U � T! __CONTRACTOR��� �'Y'��� <br />1�/ FLAT �S/�'�� � S� � �����7� <br />INSTAL � _ _- SERVICE------- S-T-LI«� -?�—J7t� <br />i <br />1 HEREBY PPPLY FOfl THE USE OF WATER IN ACCOFDANCE WITH THE �(� � � � �� <br />ORDINANCES AND POLICIES OF THE WATEF DEPARTMENT NOW E%ISTING 61GNED: X_�.._'j...�✓'� '�+ai <br />Ofl AS SAME MAY BE HEREAFTER CHANGED. l-�`�- <br />MATEPIALS 3iIN.l tIN.I21N. � I ---PRIC�E p!— —AMOUNT <br />p�pE C( OPPER%- GAW. -- STEEL �� I I �I I �� _.. I <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER 80X <br />OT <br />PLASTIC -- <br />TYPE: � 9f <br />CONCRETE SMALL LPRGE <br />� ON <br />DATE IN9TALLED: , �� J 7� � OFF <br />CO�E � IA�OR ANO EQUIP�ILIJT PLNTAI <br />I�J����k/.�- __" -____- <br />_� AC.c) r�,P <br />_ I '>��c c� i ��c C � .-3�I—_-- <br />-��f�C-.�,�r' # ,3�? <br />� <br />—'_--- — - - <br />—� --__ _,/)_� — _ --- <br />(S/ / <br />/ <br />SUB TOTAL � <br />HOl1R.". RATE <br />� - �_ <br />�- '`_ <br />� II <br />REMAf:KS: <br />___— _— __— _._'—__ _. ___-__ <br />--'—' — — . _ _ .. _. <br />_ . � -'--.—__ <br />