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APPL. ./! / Sv APPCICAT�ON FJR SERVICE SERVIGE {�° ] D. 9 <br />No. ORDER'�l <br />/� CITY OF EVERETT WATER DEPT. ��- ''�' � <br />:7- -, j�r <br />/ % (��� DATE < < ' . ,1 /-19'_ <br />� FIXED <br />�.- t7 �' W. O. <br />� DEPO5IT y : �-� • - No. ---- <br />� � � � % �! <br />:�r •�.�LiG' �' .c� t7-f . ♦'% �C—e��:.�--�o�_�'-noo.. _—. <br />SERVICE (e�Y��a/o�on�ss� �- ------ <br />....,..�.. iLl� ( �-. C>C.(_:,C(_c•/ __ _CONTRACTUR.--.. _— -- <br />��/7/, /��' FLAT <br />INSTAL �i � 7—`AG=£RED SERVIC[ — . <br />I HEREBY APPLY FOR THE ❑SE OF WRTER IN ACCORDANCE WITH THE �,�=' <br />OB ASASAME MM1Y BELIHEREAFTER C ANGED DEPARTMENT NOW EXISTIN6 s��NEo: %-_�-- <br />AIATERIALS % IN. 1 IN. I 2 IN. L_ <br />! <br />p�pp OI'PER;-GALV.--STEEL I %�h� I _ <br />/ I <br />CORPORATION __ <br />cur•�—_L"� --- ��li-- <br />SERVICEBOX PLASTI_--CI _ _ __ <br />METER V�+LVE _ _ --{ -- <br />METER No. TYPE: _ I S - <br />METER EOX CONCRETE _ SMALL iARGF.` _�_ <br />DATEINSTALLED: <br />COOE � <br />I � UN <br />L�oFF <br />% __ <br />LABOR AN7 EOl11PMEN'i RL`!TAL <br />i/ <br />'� I PRICE <br />i <br />-r �—� -- <br />AMOJNT <br />�(�I O O <br />SUB TOTAL : � (fD <br />HOURS RATE <br />� �'�� /(" ���. <br />--� I <br />!c _ � �� _� �i I / � I ' , . <br />RFMARKS - -. ------- �{ ----- <br />� ____ _—__— <br />� ' -__--_._—__"_—_..._—. � <br />— _-_ <br />/ �i . _. _ .. _ .. . .. - - .. __'_____" <br />I <br />7'I 8 <br />