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APPL. , j✓ ✓ /� AP?LICA-fION FOR SERVICE SERVICE N° 6 9 6 <br /> No. ORDER <br /> ��/�i:� r.,ITY OF EVERETT WATER DEPT. �- �� <br /> � Fixen onr��i' 7_�9�]i <br /> � DEPOSIT S /70�. `"—� W.o. <br /> -- No. <br /> n %/ J <br /> . ��-�f<�. I <br /> SERVICE,�Y �ODRE68)�) �/��'_ �� �+1//! % _OLK�LOT_�DO. <br /> OWNEC�/�S.!L�OZ.i-7 !.S/ i.�G�df-..- .�-r4ec- /..�,.CONTRAG�►OYS'�� r``�-- <br /> ����' �--- � <br /> INSTAL � ' METERED SERVICE__-.____ <br /> I HEREBY APPLY FOR THE USE Of WATER IN ACCORDANCE WITH THE � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING � �� G � . / . <br /> ON AS SAME MAY BE HEREAFTER CHANGED, swN[o: Xr.l�� �._',_v-_^__ -.1_���;<r. �_ <br /> MATERIALB V� IN. t iN. I 21N. � I r�PpIC[ AMOt1NT <br /> P�PE COPPF_R--GALV.-STEEL I I I I <br /> CORPORATIOP� -� _I� il � <br /> CURB COCK OT i � li� I i <br /> SERVICE BOX PLASTIC -• C I _ I_ II I F <br /> METER VALYE: — <br /> METER No. � <br /> - - .— TYPE: I .`_� _� <br /> METER BOX CONCRETE SMALL LARGE I <br />�I -- -- � II� I <br /> i -- � — i—�— <br /> I I <br /> i i — <br /> I i I I I <br /> I � ON <br /> DATE INSTALLED: ..:�-�� - v � � OFF SUB TOTAL <br /> CO�E LABOR ANO EOUI�MENTFENTAL NOUR6 FATE <br /> I__ _ 1_ <br /> _ i _ I -1� I <br /> -, � i - ,,-- <br /> � <br /> � _ 1- _ ii I <br /> � -- - � I <br /> —�__ IA/� ". I i — c. g ��� _�� I <br />• I — -- --- � — — � <br /> C / TOTAL I <br /> REMARKS: <br /> �5L�4_./vV —__'___—'_'__.____- —__--. — <br />