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APPL. ��� � �j � . <br />�'"• ` APPLICATION FOR S_RVICE <br />ixEo CITY OF EVERETT WATER UEPT. <br />� DEP031T y / -�`� .�.,—� <br />--f--�^—�--___ <br />SERVICE�ev�ooq¢se>1��_l7Ev_ /�L!/f� <br />/ �, '�J ULfC. <br />OWNER �—�7C(J/� /(j� � Lc <br />INSTAL� �j"�" F�A� � �r� — ---�'ON7P.ACTOR_ ' <br />I HEREBY APPR FOP ThE USE OFSERVICE________` __ <br />OROINANCES �NU POLICIES OF THE W T�ER EPAR MEN7 NOWwE% STING � <br />OR AS SAME MAY BE HEfiEAF7ER CHANGE0. '/ <br />6IGNED:���' 1 ��'L- <br />n1ATER1AL9 �—�-- <br />PIPG �—��. ;i IN. � 1 IN. I 2 IN. <br />coPrea._ � <br />--_______ GALV. -. STLEL �/7��i�i <br />CO�tPORATION <br />'�---_. <br />CURB COCK _ <br />SERVICE BOX <br />METER VqLVE <br />METER Nc. <br />METER BOX <br />PLASTIC -.�C <br />____—_.__ TYPE: _ I . <br />_e <br />CONCRETE SMALL LARGE <br />__-----{-' � ""'l, o <br />---�--� - <br />DATE INSfALLED: � I �' OtJ <br />" � OPF <br />cooe � 0_� <br />�— LAOOp �ND EpU1PM[Ni FENTwL <br />� / tr <br />J <br />, � � ----_ ---- <br />---�=,�.�r�, __----------_ <br />-�—- -- <br />� �! J ------- <br />------�------ <br />---- -L------- ---- <br />_'-- ------- <br />----- -- -- <br />/� ------ --- <br />--- -- <br />REAtARKS: � —�--- <br />__ '___L_ '—_7_ _ <br />_ _ <br />_ <br />_.. .. _-l.. `..� .__.__.__ <br />A <br />seRvice �� 1 4 5 9 <br />ORLiER <br />� <br />l)ATE� =Z � Z_ _ 1 B`/L <br />W. O. <br />No.__�_ __. <br />_ — ---�_ <br />����� <br />�_ <br />PHICE AMOUNT <br />.5L7 ZO�2/ <br />�� .3 I� r <br />SUB TOTAL <br />MOURS <br />---;--�--- =�� '3� <br />_ i _�---� <br />- �_� _ .��0 77��; .j O �'¢'lo <br />i � - <br />- n <br />� So i -'-- <br />� � �r <br />� ---- •�=-- -- /O , u O <br />�----------- h �- <br />-- ioTAL a�O�I %� <br />_.. . ... _. _ .... . _. __ _.. <br />-_ ___..�_�___._ --_. <br />