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�PP�-• (��/ G/O� .4PPLICATION FOR SERVICE SERVICE N° 1 4 7 3 <br /> N�" ORDER <br /> CITY OF EVERETT WATER DEPT. 7 � <br /> IXED DATE � Z� _1g.� <br /> � DEPOSIT s f��Z��-- W.O. <br /> � //, /� ��" /� �q-�1 /�y� ) <br /> SERVICE (BY ADDflESB) � � 02 sr ��/�L(J �/� OLK. LOT1_-.L—�ADD. �/��'�''✓ <br /> OWNER���c- • ( -�. _GONTRACTOR �/-r�E <br /> . �� FLAT �533 i'AP.�sidc � f(g/Zf�SY/t-LL <br /> INSTAL Mi�G�RtD SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDA�CE WITH THE 7 � <br /> ORUINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING � r �d 7Y <br /> OR AS SAME MAY BE HEREAFTER CHANGED. rst�Neo: X—Or�Cn't-��" '/� �t»•y� L��L _ <br /> MATEqiALS }i IN.'� 1 IN. � 2 IN. I � PRICE AMOUNT <br /> PIPE COPPER-GALV.••ST[EL � I � � I ' <br /> i <br /> CORPORATION I L I <br /> GURB COCK OT � I I � <br /> SERVICE BOX PLASTIC -- C IJ I C <br /> METER VALVE <br /> METER No. __ TYPE: I gS <br /> METER BOX CONCRETE SMALL LARGE I <br /> -- -- �z �� �.50 �OD <br /> I � <br /> --i — �--�— <br /> —I — <br /> --, — <br /> � I � �— <br /> � �-aN /6 ' <br /> DATE INSTALLED:/ _ / _ ,7 / �pr / SUB TOTAL <br /> CODE � LABOR AND EQUIPMENT�'_NTAL � � HOUFS PATE <br /> C �,j �y ✓J7 �,� <br /> ` � t.[ i r _ I /J J '�_ i''—�� � <br /> i � �-2�9-- <br /> � ,� ,,�.,�, «�� --- I� 5'`?ii � �� <br /> � � I ;i�l� <br /> I I - �'� I <br /> - ' - ------ --- - � i�-J- <br /> I � / - i Ij�_ <br /> � TOTAL II -- <br /> REMARKS: � . — ' _. . _ _ .' i .>' �.; . . ��_ �o O7 <br /> ��-- _ ._--__— � � __ <br /> , - —_ — �- <br /> ----,�---7 _ _ - � <br /> �- -- �---------- ---- -- -------- <br />