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APPL. 7 f+r���O/ APPLICATION FOR SERVICE SERVICE N° � � � 'i <br /> NO. ORDER <br /> CITY OF EVERET'� WATER DEPT. <br /> OAYE�-� �� I �' —18� <br /> � FIXED <br /> ��EP04IT 5��� =- No� . <br /> 9ERVICE 1BY ADDRFsa)-�� � �� �L'��l J�--- -.BLK_--LOT- aDD. <br /> `� �,[/// �r����'�. iu 7�'HIA7/G <br /> OWNER��S�..L�J��'C 'a c�:=� �' '-.�...1:_�._-CONTRACTOR �_.yE2��� - <br /> 1 ,� ,� J ~ <br /> INS7ALL���M��RED SERVICE���:�.�''_..��6�� ���L_-_ -.=•>�.-��� +�i �SC(/7� - <br /> I HENEBY APPLY FOR THE USE OF W�1ER IN �CCORDIINCE WITH THE � 1 "1 �+. � ��-�� <br /> ORDINANCES AND POLIQES OF THE WATER DEPAPTMENi NOW EXISTING �: �h�/�'l 'f��/������ �' ��/ r� <br /> OR AS SAME M11V BE NEREArTER CHl1NGEU. 51Grv[o. X. ---f-�. �- ��r�- <br /> M�TERIALS �4 IN. � 1 IN. 'i ] IN. I P ICE � AMOUNT <br /> p�pE COPPER-• GALV.•-STEEL �y I I � <br /> CORPORATION �i I i� I <br /> CURB COCK OT I II I <br /> SERVICE BOX PLASTIC - C � I � <br /> METER VALVE y /'? __ — -- <br /> METER No. �j U S �FIZ�I/7rPE?G�.".N G I "'� — __.- ��Gr /�O <br /> METER BOX CONCRETE SMALL. LARGE I _ <br /> — — — . � �- . <br /> ' ' ' ' '�,f. .�.., , � � , . <br /> - , . . . .�, �c.. � <br /> . , - �, I I � ��.� <br /> /. I S- %�„-s /�"r/���f C[ 6 <br /> ;z_ �'/ c�a.��S--Jih �Y'Nc� i :�. _�,9 � � 7 I ro 5L <br /> �� �'y C�cvis� s�,-f� ./ �P�z�� _ � - — 7 1`�`� <br /> /��'//�'���F 1,��rdn's/ J_'U51' ��__ � � � � ' I - <br /> ;c�•c� �r7 fc��-,/��c,�r��J Ccr io/s S i , - i 1J�L <br /> C oN �q <br /> �ATE INSTALLEO: � -,� , . I n OFF SUB TOTAL �O7':� �G <br /> CODE I LAeOH AN�EOUIP!nENiPCNThL I NOURB R�TE <br /> I ��'�nr �`'-- .��3� ��� <br /> I --- � _ �:�ll�/12 ' �V- —- �� .h.3� 4c' <br /> � t:' / � �'� <br /> Q ' _ _ <br /> � I <br /> i - ' s �� � �� ' _ <br /> I _.�— I <br /> _- <br /> -- i � <br /> -- --- --- — -- ---I---- _-- <br /> I <br /> I --- ---- ---- <br /> --i <br /> �;y O ..- . TOTAL I yG.'{f L7 t: <br /> REMAFiKS <br /> . __. ._ .__. <br /> --- --- :_.-� -- - �-- - � wn t�.ik-�fw�q sa�/' .=93. 5.� <br /> _- _ 1.�..�_ _ . . _ _ .__.-_ Lnl�r {uvG/ GC.3' oLlAd��G'✓__ <br /> - - -J , too, . M.;rr_'�.'�b >Yl i�r�/T <br />