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AP� � � APPLICATION FOR SERVICE SERVICE No Zqg3 <br /> No. �!-��� <br /> GTY OP EVERETT WA7ER DEPT. oRoeR / <br /> , �FIXED / � DATE._�� c%�__19_f_ <br /> . � DEPO51�' S_lUl�.-��` W. O. <br /> No.--__-_--_- <br /> I SERVICE favnoDne6s)_S��_ '��j2n .�j�_ ��_BLK.____LOT_��qD7� /S/�//�/�L+ <br /> � UWNER �O i+F�� �_Q[,�__tsa_ �U�L�l,1�l� <br /> j �--� � CONTRACTOR <br /> �- FLATJ �- - <br /> I INSTALI�I� fERED SERVICE______ <br /> �i_- <br /> I I NER�BY APpLT'FOR THE USE OF WATER IN ACCORDANCE WITH THE / ,' i � <br /> i ORDINANCES AND PO_.�:IES OF THE WATER DEPARiMENT NOW E%IS7ING ^�(/���C /��-- <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicHeo: v�`'- �{! <br /> � MATERIALS /� IN.� 1 IN. � 2 IN. <br /> I � P ICE AMOUNT <br /> ( P��'E COPpER--GALV.-- STEEL I <br /> '-_ - -J__I_'- _ <br /> I CORPORATION - <br /> � CURB COCK OT I- <br /> i--- -___._ I . _-_' <br /> i SERVICE 6pX� PLASTIC - C I I '� <br /> � - _ <br /> METER VALVE ___ - -- -� � <br /> i --_ -.__-__-�_ _ <br /> i MSTER No. TYPE: .�y - -----� <br /> j METER BOX CONCRETE SMALL LARGE _ __ I <br /> I -I-- _- <br /> �-�-__ �.___I__ - <br /> � _' _- I I <br /> I - <br /> ' — � j- f�__ — — <br /> ( —L__ �--J �-- — <br /> I__— � J�_ <br /> � -- ------I—I---- � --- <br /> � I ��N <br /> DATE INSTALLED: jlI�-zf!_ Jl � OFF <br /> � .,�. �L <br /> COOE � _ <br /> �I ' LABOR aND EqUI?MEN'.' qENTAL I HOURS R4TE - <br /> � I __--I <br /> � I -- ----- L�—�-- —I_� -- — <br /> �--i — �—T- -1- ���sT��i1.Cu_���� �' —. ---- -- <br /> �--- --- -��� #��L---i�.�- <br /> I � <br /> �--------- -- -...__ __---- ---- � <br /> I -- - - <br /> -I - -- - <br /> --- - - _ . _----- -- -- ---------�-- <br /> I I - <br /> I REMARKS� TOTAL <br /> �_— _�_r '1C2�__<<=�—==-i�1_c'�y.f�i:���/_/��---�='�:L��—�<C--/� — <br /> . 'L� �' <br /> >,;�, <br /> � <br /> ;�� <br />