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w.� i <br />� / � �/ SERVICE <br />APPLM1y4� ,'t!' �/ r;-;'�; ;JF EVERETT ORDER NO. <br />No. � �- u .� , <br />APPLICaTI�N FOR �NF�7ER SEftVIGE <br />D ATE. .�/� 'S/ - -_ __ _ 7 9_��- <br />�'FIXED <br />L-� OV W. O. <br />� DEPOSIT SZ 3 J No.-.- —_._ ___._.-.__ .__ <br />J 1l � ��n:� A J L- J G(�� �Z �iG' �F=_/'�1-=G` l. .�)o <br />SERVICE tor �onaesel----- --------��'K��—~'LO7---ADD. <br />OWNER�-~-'—�i. GO.�l/f;._.<K_'-e.- Ge:?. _ ___CONTRACTOR_ —__. -___- -___.. _ --_ _.___ <br />r. ELA� . . ... <br />INSTALL 3��=.ME7FRED SERVICE---___. _---------- ----- -�- � - � ��--- <br />I NEFEBY APPLY FOR TNE ❑SE OF WATER IN ACCORDANCE WI7H THE � _//� <br />� <br />OF�INANCES AND POLICIES OF THE WATER DEPpRTMENT NOW EXISTING �� ���_��� �v <br />_ _.._ __ "_'""_ .....,.�,, sicHeo� X � t-- �ii _._�__ <br />MMEHIALS <br />p�pE COPPER -- GALV._-_STEEL . _ <br />CORPORATION ' <br />CURB COCK OT <br />SERVICE BOX __ .PLASTIC -_C 1 _ _ <br />METER VAWE _ _ .__.. . __._._ <br />. _ _ _.. --___ _ . I <br />—____'____-__ <br />METER No. TYPE: . _ ^ <br />METER BOX �CONCRETE � SMALL LARGE _ <br />DATEINSTALLED: <br />CO�E � <br />� <br />! REMARKS <br />-- � �_ O N <br />n OFF <br />LABOR AND EqUIPMENf RENTAL <br />i� �N. � 1 IN. 2 IN. <br />�•�I <br />� <br />SUB TOTAI <br />', HOURS RATE <br />.. -____.�_ II__ --".__� _--." <br />_---=�'--__-_ <br />_-_"' - _ -_. . '- <br />�_ �� <br />/ .. � <br />/ � <br />�.(/1./ _ './.i "---" ___ __-'_ <br />_ � � -- -- "� � � <br />i� <br />'�I _. � -_ _ <br />TOTAL <br />