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/ ' SERVICE <br />AP •�j��� � CfiY OF EVERETT ORDER NQ. <br />No. ^� APPLICATION FOR W.4TER SERVICE L /C, <br />DATE../ `/ j-�-_iBI7 <br />+� FIXED �� <br />o� W . O. � <br />� <br />� DEPOSIT s � . No.'-___'__- -_ __ <br />- J.1-- / � . �/ �,1�..-,•�r,!�'t7` �.� � �%Z !� [� <br />SERVICE IBv ADONEec�_C��fJ /`� -y- ��'-'�'=�L��/'' p-''����"�BLK._ _ -WT_ .__- -Apf���L/-sGL' �.. . <br />� <br />� � <br />�/ � �' �� _ __ . .__ _�__CONTRACTOR__-__'— -____-- -.__ ____-' _ <br />OWNER�C.G-f..--�'C - �' <br />/// F�sr -�-_`1 -_— ___._-_ - _-__. .__ _-_.-_. . _._ <br />INSTALL�L _ ETE�ERVIGE:_---- - - -�- -- i <br />I HENEBY APPLY FOR THE 115E OF WATEF II� ACCORDANCE WITH THE �� � /-'�� <br />ORDIHANCES AND POLICIES OF THE WATER OEFAHTMENT NOW EXISTING ai�rvEo:�- �- ��� 'v--- ��� <br />Ofl AS SAME MAY BE HERE�FTER CHAHGEU. <br />ii1N.� IIN.I21N. I PRICE •MOUNT <br />MAtER1Al5 �� ; I <br />�� 1 I <br />PIPE COPPER . GALV... STSEL _ .. . -- - — <br />'_-_ _ . <br />__'-_-_.'� _I"_-_'-i —_ <br />CORPORATION � �— � �� _ — ------- — �I--- " — -.. -- <br />-.-.._ -_ I <br />C:URB COCK _ _ OT _ __ II - - - <br />SERVICE BOX PLASTIC -- C I __ . __ _� --- -- <br />' I <br />_-__-' � <br />METER VAWE —__ - _. _ -. -I-- .._ __._ _ - -_ <br />METER No. �l�"� _. . _.._TYPE:C'�f p=.J�1/ I_.'�_-_ I --- __ _ —_ ___ -_ <br />__ __. `� �__ <br />' METER HOX� CONCRET p SMALL/ .LARGE _ . i _____� _ -- ---- <br />' - .. _ - -� As` ��--=�.r � � � I — <br />� <br />- -- --- I r i <br />-- � ���f�lT f�LS_Nk�M- --_ — <br />--�---; <br />-�s--��- `'7 � C u!_JJ �f LX-,— --- �Y-o c <br />„� %; r: ��": <br />DATE INSTALLEO: <br />COOE <br />� ON <br />��� J 7 I � OFF <br />LABON AND EOUIPMEN f RENTI.L <br />--; — <br />-1 —II'I-- -- <br />i � <br />-{---i--,-- <br />I <br />SUB TOTAL <br />I HOURS I NATE <br />- f-J N •� I . p• y. <br />' ___- __- <br />_ __ <br />. __�,'«_� '�i�lQ_�-_ _ _ _- . _*`1" -_ <br />'Lit.. T. , � i ! <br />L� p : >�~�c�. — -� - <br />-- m <br />------ • �¢ . <br />` F?� ��i�— - � - <br />-- - <br />— -� _� ,1 "/� I �7�� <br />�, 7 - -- - - — <br />- -- - <br />--- � �, 2 <br />_ i% �,,,� <br />I _ � _. . . . - -- � --- <br />— ---------_ _ _ �,3�� i b <br />-'-' `t4 lf _ _ ___•Y --- --- <br />—' -- — _ � <br />I <br />__ TOTAL <br />REMARKS: <br />