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8'30-�1 <br /> APPL. SERVICE <br /> No. 2�0 77S CIT`! OF EVERETT ORDER <br /> APPLICATION FOR WATER SERVICE r�°._, 554�3� <br /> DATE �'�I�' � 19c�_ <br /> FIXED <br /> � C�` W.O. <br /> � DEPOSIT S ��� No._ Sj(yPf�OkP <br /> l SERVICE (BY Ao�RE881 � h��I - � � r� 1J�� BLK._ LOT�ADD.T�Q� �' - <br /> OWNER_S��7 L'I� O�C�„r CONTRACTOR i¢� N — <br /> � �I �pLAT�/ ' <br /> INSTAL�METEREU SERVICE--� � - <br /> OHDENANCESPAND POLIC ES OFETHE WATER DEPt,R7ME1�T NO`7lWEX STING <br /> Ofl AS SAME MAY BE HEREAF7ER CHANGED. ei�HE � -.- --- ------- -- -�---- <br /> MATERIwLS �w' IN. t IN. � 2 IN. � � � PHICE AMOUNT <br /> __ ' � �� i <br /> PIPE _ — . <br /> CORPORATION � � -- ' � <br /> CURB COGK OT I I_ <br /> SERVICE BOX PLASTIC -- C 1 _ I _ — <br /> METER VAWE _ � --- -�- ----- --- - � <br /> METER No. �/SL� --._ TYPE ,�L.IJIO�_�5_.—.--_ --_ _ _-. i <br /> METER BOX Cf•1NG � _ SMALL LAR/,GE ___ I___ _ <br /> . QL�_ o, -�SD ��!�- / _�_—I—I� <br /> F �—� — — <br /> I �— — <br /> 1%� ---- -��—� ��— I <br /> �� ��I I, - - — ; <br /> oN b �� , <br /> DATE INSTALLED: �v�� �� I � OFF SUB TOTAL i <br /> GODE � LABOR AND EOUIPMENTRENTAL I NOURS _RATE � <br /> � ,� T1�/� - -I� /�___ -- <br /> i �1.-/�/��tG <br /> i __�3��L1�� -- 31aD_1_ I�-- ---- <br /> --- —.3�"�Q`5 <br /> � —.._ I <br /> i — �c�39 —/1— - - <br /> i -- a J3? ---�--a— . <br /> — TOTAL <br /> REMARKS: ______.__.__ -- ^ <br />