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i <br /> � <br /> ; <br /> � AP�L-j- ��-! ' APPLfCATION FOR SERVICE SERVIQ= NO Z,;r � <br /> No. L.I L.:C � -!- ORDER <br /> � CITY OP EVERETT WATER DEPT. <br /> i � FIXE� DATE�� � _197�"� <br /> oerosir 5 3(�95'. � � N�_ <br /> I �" — <br /> / �� 1—l ��jII � ur��°� t�—z8-4 <br /> SERVICE (eY�Ooaesel Y�%C� �y�J::-�L '�'L�� �^JY BLK. LOT f�DD. -- <br /> OWNER_L?��� �� �V��-�— —CONTRACTOR _ <br /> L1 F�T� <br /> INSTALL—r�1�ETERED SERVIGF --- ---- <br /> i HEREBY 4PPLY FOR THE USE�F�-t7RT[A'Ri ACCORDANCE WITH THE �'���"rl, ��J f ��4�Ti'�'{' <br /> OROIHANCES AND POLICIES OF 7HE WA7ER DEPARTMEN7 NOW E%ISTING � �� � �� <br /> OR AS SAME MAY BE HEREAFLER CHANGED. sicHeo:X-.���C/�'�'y��y� � _yyJry__- <br /> AIATERIALS ' �w IN.� 1 IN. � 2 IN. L-� � PRICE � AMOUNT <br /> PIPE COPPER-- GALV.-• STEEL I I I I � <br /> CORPORATION �I_ II _ _ <br /> CUR6 COCK OT _ _ I �I __ <br /> � SERVICE BOX PLASTIC •- C I I I <br /> �' METER VAWE �� <br /> � METER NO. ��� _� TYPE:UQr�LJ1Co/ I. t' — -- -- ' -' <br /> METER BOX CONCRETE SMALL LARGE <br /> — — — i— I _ _ <br /> I <br /> _ _ _I — __ <br /> � � ��-_ I - <br /> � -I - -- - <br /> � I . I I�- I <br /> ; I � �N �v 'l <br /> � DATE INSTALLED: ��— � ,-�1 > I � OFF � J(�/� 'SUB TOl'AL <br /> � .i v� <br /> � CODE � LAeOR AND ECUIPMENfR[NTAL � MOURS RAT[ <br /> I _ — _—"— _. --I__ —_ =� �_ <br /> � � <br /> � �� 2�_- � - - - - <br /> i i �-- -- - <br /> i i ��_- � - - <br /> r ; -_ , <br /> i- � - - --�--- -- - <br /> I TOTAL <br /> � I REMARKS: � <br /> � _—_. __ _ _.____. --_--_ _ _- __ __ _- <br />