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��� <br />m�x <br />C H <br />�H� <br />H�H <br />rG C] <br />H� <br />050 <br />'31 H '� <br />fA H <br />LTJO� <br />H C7 <br />OH�y <br />H C�+7 O <br />�r n <br />t" y 'Z <br />�yH <br />nt7y <br />��� <br />HOfyir <br />I �� <br />�� <br />�\I_I <br />;' C�' / �'. �= _� <br />APPL ��Q <br />No. } <br />� FIXED QG <br />'�'/1 DEPO3IT � � <br />�� <br />I,�TY nF EVERETT <br />APPLICATIOM1 FOR 1NATER SE!�VICE <br />SERVICE ' "' �� <br />ORDER NO. � �- - �- <br />DATE— _-���-j--��/--l'- <br />w, o. <br />No._-'_-- <br />sERVICE �er�ooace�t " ""�v • •'��-�K <br />OWNER—�Al�E�l�--1�1�-� Q. — --CONTRACTOR�O'� p - ---� <br />FL.A�� <br />INSTALL�'—�ETERE SERVICE_----- - -- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WIiN THE ^, <br />ORDIAANCES AND POLICIES OF THE WATEN OEPAflTMENT NOW E%ISTING i� <br />OR AS SAME MAY BE HEHF.AFTEH CHANGED. elcr+w: - -- - -- <br />1i IN. 1 Irv.'� 11N. PRICE <br />MhTER�AL6 q <br />PIPE COPPER .. GALV. - STEEL. ` LA S __ �� I— I— -'— -- <br />� I I <br />CORPORATION _N�OtlS i _—� -- <br />CURD COGK OT ____ <br />SERVICE BOX PLASTIC -- C 1 _ <br />METER �'ALVE _ �C�3�.YMy <br />_..._._ -'_'- <br />METER No. TYPE: ___'__I__'d_. <br />3�� SMALL LARGE <br />M[TER BOX _ CONCRETE L� d ____ <br />r� El.-,2_ __ L— 3 1- Y S� --- <br />--- -�1.�0 7 3._ - <br />1�_�P'� J��es�n-�.�[F� <br />i�?._?s' —_r 3,°�--- <br />�ATEINSTALLED: � <br />qUCE I <br />—I — <br />—I <br />—i-- <br />I <br />_� —.._ - <br />_i <br />RFMARKS: <br />� <br />� <br />� <br />� ON <br />� C// �OFF <br />p b <br />LABOR AND E0�11PMENf RCNTAI <br />- - - __ --- 82� -_.�/_- <br />�--v � -� , _ 3 ; B �— <br />— - -----���3� <br />SUB TOTAL <br />HOUP9 ! RATE <br />I <br />3 <br />TOTAL <br />AMOUNT <br />