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APPL. 1C- 77 <br />N o. <br />FIXED <br />LC - <br />0 DEPOSIT $ <<C� <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER <br />N 8 0 <br />DATE_ <br />W. O. <br />No. <br />SERVICE (BY ADDRF-Ss) I—L LOT ADD <br />OWNE <br />INSTALL ' <br />1 HEREBY APPLY FOR THE USE OFW*TEF IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />CONTRACTOR <br />ane deo C wJ <br />SIGNED' X <br />MATERIALS <br />iii IN. <br />1 IN. 12 IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />METER No. S( / 93 TYPE:Prec/S/et/L{ <br />`` <br />54 <br />LARGE <br />METER BOX c� CONCRETE SMALL <br />DATE INSTALLED: ,')/-ns <br />I OFF SUB TOTAL <br />CODE I LABOR AND EQUIPMEN I' RENTAL 05/02/8814 44AMR000Al01391 <br />*4 <br />C`Y/a.�L1 / ee -7,9 , <br />!61#0005 <br />-----$38.00 <br />$1540.00 <br />SEWER <br />BNDIiI <br />#000 <br />1171 <br />- 1171t5 <br />7653 <br />5--$200-64 <br />--V-203.64 <br />$2006-.00 <br />— - --- <br />1171+5 <br />#0009881 <br />-.__. , <br />TQ%A L <br />REMARKS: <br />MECH $675.00 <br />B SRCH $3.50 <br />F;1,rH .1n.nn <br />