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, <br /> No?��4�..��`r/ APPLICATION POR SCRVICE seRwce N: 2202 <br /> ORDER <br /> � CITY OF EVERETT WAYER L1EPT. <br /> � �'IXED / DA'fE�Z�__i8� <br /> � � DEPOSIT s CLO • U{�' W.O. <br /> - No. ___ <br /> � SERVICE (eYAODRE99)Z/ (r�1�_(1��� /�d�/f-+ . W BLK. L0T2S ADD��Nd� <br /> � OWNER�—i�r�' C�.�1�--� �T.�77%S <br /> . —CONTR.aCTOR <br /> �� � FLA <br /> ; INSTALL_J�_ EREU SERVIGF _ <br /> i I HEREBI' APPLY FOR THE USE OF WATER IN ACCO'tDANLE WITH THE <br /> � ORDINANCES AND POLICIES OF THE WATER DEPARTNENT MOW E%ISTING � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. e�icNeo: <br /> — MATEfl1ALe �/i1N. � IN. � 21N. � I PRIGE AMOUNT <br /> I� <br /> i PIPE COPPER-- GALV.-• STEEL <br /> � CORPORATION � <br /> � <br /> � CURB COCK OT _ _I I <br /> � SERVICE BOX� _ PLASTIC -- C I I � <br /> � METER VALVE <br /> �—' _ ___-.-. -___._ _ ______ ___ _ <br /> � METER No. TYPE: __ I y5 _ __ _ _ _ � <br /> �� METER BOX CONCRE7E SMALL LARGE <br /> i _—�_---I_I_ _— <br /> i - "— _I _— _'.. <br /> I —J_ I_ <br /> ; .r�R��;:��x� -- --i . _; - <br /> i- - --� -I'� : <br /> � I I�- <br /> i - I I I�-I <br /> � ON <br /> � DATE INSTALLED: �.y_��_ 7! � QFp SUB TOTAL <br /> i rT_ V <br /> COOE I LABOR ANO EQUIPMEN�f RENTAL I pOUIiS qATE <br /> �I -- �0-L�•— i� , <br /> r--I -�-�5�4-' <br /> i ,_ ---���1-�-- �-�- -- <br /> j i --�-( -� -- <br /> � i -- -� - <br /> I- <br /> � TOTAL <br /> � REMARKS: / � � / <br /> � /(-i S/.__%�_'cY �.r�__ f'�O/ ./"�:�/!i N !/:i .— —_. <br /> �' #t�"..�- <br /> r <br /> _., <br />