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i <br /> APP�� /74 ��j APPLICATION FOR SERVICE SERVICE N� 6 3 5 <br /> N�' � ORDER ' <br /> � �,�� �, CITY OF EVERETT WATER DEPT. I <br /> Fixeo � - 2 cl <br /> A DATE� __1BG'_ <br /> � � /LL�).��c�c.r-,<� <br /> � DEPOSIT S'� (, G yy. O. <br /> � NO—___ _' <br /> SERVICEIerwooREae�.___ _��C,_� �._(���.{� .�'��'!—_F3LK.__—___LOT-.__..____AOD. <br /> OWNER_____._______ _ ._ __.____—___..__ ___ —_ CONTHACTOR_—____ .____— —.__—_______.. <br /> J' FLA7 • / <br /> INSTALL���—JAGFGAEO SERVICE—_.._ _�� �1��7--Zi--�-C�______________ ___'___ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �] ,/ p <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING I�7����_� / Aii � L--- - <br /> OR AS SAME MI1Y BF. HEREAF7E� CHANGED. BIGNEo: X �i ���?9__ f/� �r��►� <br /> {�"- T— �_�.-y-- <br /> MMERint O ?i IN. I iN. I 2 �N• ' I PRICE AMOUNT <br /> PIPE _ S_OPPER l GALV.--STEEL _____' '_ L I I�— •r��DI�(��_ <br /> __ '— __ '_' . _--._ _' <br /> CORPORATION I � !'i I <br /> —� <br /> CURB CJGK � `OT �__—_—__._____ _.- __ _� __I I___ .�� � �_ ` . <br /> ` SERVICE BO% _ , PLASTIC_� C 1 _ _ / I �/ .I� <br /> __ _ <br /> i _ <br /> METER VALVE <br /> ___—_— __.. —_ . . .__.._ .. __.— _.. _— .__. __ _ _ __ —_ _____— ._ <br /> __METER No__ __,_ _ TVPE: I .�____ ____ -�—' <br /> METER BO% CONCRETE __BMALL LnRGE I <br /> -- o ;. - —�-- _� -- �-- ---- �! i i�G� <br /> �, �< < < � -° ---� —�-- a a�so <br /> , . <br /> -- — —� — <br /> - ----- —, <br /> -- --- -------- � � -- -- <br /> _ _ _-- <br /> - - - <br /> -- ,---� - �--�— -- — <br /> f5d oN <br /> DATE INSTALLEO: � � 1 � ; _`_ �,i � OFF � SUB TOTAL �' �!�' <br /> � "i /r�.. <br /> CUD6 I LAOOR AND EOUIPMENi PENTAL � HOOR9 RAT!' <br /> ��_, �--� <br /> -- -�----- <br /> -- - _ - --- --- ---- <br /> � , <br /> _ ��i�-�- -- ; = �,,- � <br /> — � ` 1,�-"'�----- --------- —�-,�_� ` 3� ��} � <br /> ' —�—'—LL.`�_�—_ <br /> _ i �I i <br /> — -- ---- - -- ---- -- <br /> ,� .,i � � , - � � <br /> _. . , : J <br /> � ; <br /> ---- - --- _ _--- - -- � - --- <br /> -- - --- - - , <br /> - - --- - _ <br /> --- -- - _ _ __ - I__I'__ i <br /> - <br /> -- <br /> � T-- <br /> � T�TAL—I� . .I, �; <br /> REIdARKS: (l� � - � � yj ./1'1L S_� <br /> , -� < . , a <br /> __'_._ .—__._'.+].___ �-.�'� ._�__l_li'_'�'iV'__ ( ' �",1�!':�/I: /l `� / r L' _ <br /> _� . �'_(-___. . <br /> i c . �_ � i . , i _. <br />