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�• ��� � APPLICATION FOR SERVICE SERVICE No 23"4 <br /> NOP� L �S� � ORDER <br /> � CITY OF EVERETT WATER DEPT. <br /> � DATE_��L-I___-'-iB�� <br /> �FIXED <br /> I � /n LfZ� W. O. <br /> � � DEPOSIT g •_��1.%__ No. — -- <br /> //�7 �-{/Ci� �LA.C.!_> <br /> ����J �� 7�'� / � � __ . —.BLK. LOTZ.7_AD�. /J L-F�G-�"_`�_..__ <br /> ' SERVICE (BY AOonE95) . <br />� : OWNER -�� ��������lc' _ __—GONTRACTOR -- -- —�-- <br /> � y�, n FLAT �---� _--_-_— <br /> � INSTALL_�— ETERED SERVICE_ --- - <br /> t 1 ^ .- _ __. __._. <br /> ' I HE(iEBY APPLY FOR 7HE USE O IN ACCORDANCE W�TH THE Q <br /> I ORDINANCES AND POLICIES OF THE WATER DEPAR7MENT NOW E%ISTING _ / [� C. ___4�-«�/ <br /> OR AS SAME MAY BE HEREAFTER CHANGEU. slcNEo: X f1�'---Q-��- - <br /> MATERIAl9 �/n �N.� � �N. � 2 IN. I PRICE I AMUUNT <br /> �� /- i I I � <br /> � PIPE COFPER� GALV.--STEEL .J _�I__�_ I_ __� — <br /> I�—COR—POR-A—TION 11�[" D �� � ' I—I-- �I � <br /> CUR� g CpGK OT _'_ —I —�--I-- <br /> PLASTIC -- C I I I I___ -- <br /> SERVICE BOR - � <br /> �� METER VAWE � -- ---I ---- -- -- - ----� <br /> r METER No. „� � _—_._— TYPE:G�j'CP_1/�C I- s° � -- —I _— --_-- -- - _ <br /> i�� �GONCRETE � SMAL _=ARGE I __ I <br /> ��-�._" � � I- - __ _ <br />�� �— -�='�£1��= R 5 �-a r 1 --I �— — -- <br /> � � <br />'� � --- �- — — <br /> �" � �, -- — <br /> � — — --- <br /> �__t�7"�---- ---- —1- <br /> � � -- <br /> j i-- - --- - .. ----I�--�I --,I-�-- - -- <br /> I � <br /> I � ON <br /> � DATE INSTALLED:�J 1_ � ^-� <br /> � OFF SUB TOTAL <br /> � / <br /> LA�OR ANO EOl11PMENf RENTAL I HOUR$ RAT[ <br /> C�� —_I_ —._ __ _— _ _ <br /> �_'I �_� _-__f����--Z_ _I'�_S'- _--- - -- <br /> � � -- --_ _ � ry� I .S' -- <br /> � I� � �/ - -- --- <br /> CP ' �i� S __ {� �_�._ ___�/__ _—_-__—. __ _-_ _-_ --'_. <br /> I i <br /> �— —�N f � sz �, � 5 �; ' --- <br /> �—_ / f l� I <br /> i <br /> I— � ' � L � / L ( TOTAL <br /> I REMARKS: .. ., �' . y; . . _. - ______. -__—\�.__ <br />� : . . _ --_ - __ ' <br /> . _ ___._--'___ _ . .' <br /> I—_ . ._-_'_"_ '"' _ ____'_ _ <br />