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ArrL.��V� -CITY OF EVERETT $ERVICE -� � � r I <br /> NOr ORDER NO. •� � O <br /> APPLICATION FOR WATER SERVIGE 10/10/80 <br /> DATF _-1G_ <br /> � FlXED <br /> � DEPOSIT s 60. 00 N O. <br /> 4914 23rd Avenue West BLK._ LOT 4 Pp�ranada Sea- <br /> SERVICE I�YwDDRp�) view Eatates <br /> o'Conner & Oehler CONTRACTOR <br /> owNER <br /> " FLAT <br /> INSTAL� 3 METERED BERVIG �� <br /> I HEREBY APPLY FON THE USE OF WATER IN ACCORDANCE WITH THE � <br /> ONDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING � 1 2�� C� c�-✓�J <br /> OR AS SAME MAY BE HEREAFTER CHANGED. aicNEo: X...�� <br /> MATERIALB � IN. 11N. I3 IN. �� PRICE AMOUNT <br /> PIPE COPPER--GA!V.-.aTESL � <br /> CORPORATION I � . <br /> CURB COCK OT I - <br /> —i <br /> SERVICE BOX PLASTIC -- C 1 I . <br /> METER 7ALVE __ _ _—— — � <br /> METER No. TYPE: I Sf <br /> METER bOX CONCRETE SMALL LARGE <br /> __ —_ I--� — <br /> '_i —.— <br /> I <br /> ——� <br /> I I <br /> ON <br /> DATE INSTALLED: Z 1� / OFF SUB TOTAL <br /> IL <br /> GOD[ I LABOq ANO EOUIPMENfRENTAL HOURS RATE <br /> I � t � ,f'%�!� /!�/!-C'r�J, . ���'1 I � <br /> I ���r '� - - <br /> � _ 9309 O1 _ "�y/� I� I� -- <br /> i I <br /> I -- I — <br /> I � _ <br /> I <br /> TOTAL <br /> REMARKS: <br />