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APPL 2� 7 APPLICATIQN FOR SERVICE SERVICE N2 1 4 6 8 <br /> NO. ORDER <br /> CITY OF EVERETT WATER DEPT. -7 <br /> DA lE —i6`� <br /> FIXED <br /> �� / UU <br /> QiEEP061T s� W. 0. <br /> � G 70. <br /> �((7�L Num-s - <br /> SERVICE (BYADORtlp—/ S <br /> O TBLK. LOT / ADD.7R/�C I-4L;* <br /> OWNER E � WLA CONTRACTOR <br /> INSTALL METERED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE /, <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X <br /> MATERIALY K IN.I I IN. E IN. 11 _PRICE AMOUNT <br /> PIPE COPPER-•GALV.-STEEL <br /> CORPORATION <br /> CURB COCK OT I �� <br /> SERVICE BOX PLASTIC •• C I <br /> METER VALVE <br /> METER NO.."27 <br /> METER BOX CONCRETE SMALL LARGE <br /> C/ cow Crej`e -.S / miEz <br /> /Zd ��•><%/Z tea'%�J�/I�c'.li�' f.�0 _� ^' <br /> / Cy �oHc rtJ�P _ p6. /•f _I 2� -�� <br /> /R CYConrls c- Send <br /> ON <br /> DATE INSTALLED: 5 Z5-7/ OFF SUB TOTAL <br /> CODE I LABOR AND EQUIPMENT RENTAL HOUR-, RATE <br /> Z 7 L l✓r�—E L� ren - -- ---- �, 7� 9 j s-o <br /> I <br /> � --- ----- ------ -- moIi_ I <br /> I <br /> rnL <br /> REMARKS: <br /> 7 -- <br />