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IAPPL..�j�I���� �,4PPLICATION ��OR SERVICE SERVICE Nn. ZqZg <br /> � No. ORDER <br /> CITY OF EVERETT WATER DEPT. <br /> � �FIXED DATE_�/2� _�g� <br /> i <br /> � � DEPOSIT :2�D� `� WO, <br /> � No. <br /> I Z / c.�r l� '�rz�,ti,orc�-.� :5t:��t F�*�-�' <br /> ; SERVICE (BYADOReselA ��•1. `�L-�.rU�11G�D{;7 BLK. LOT ADD. ���L �3 <br /> iOWNER�Avlfj 'a� �J_p�_1.,1�7..10L�(] GONTRACTOR ___ <br /> I INSTAL, 3�MET�ED SERVIGE _ ___ <br /> iI HEREBY APPLY FOR TNE USE OF WATER IN ACCORDANCE WiTH THE � �� /��tL�� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXIaTING l <br /> OR AS SAME MAY BE HEREAFTER CHANGED. s�crveo: X 'S- �� ( __ <br /> t MATERIAlB �' IN. I IN. � 2 IN. I � PRICE AMO T <br /> r <br /> i PIPE COPPER--GALV.--STEEL F� � � <br /> � CORPORATION � <br /> r CURB COCK OT J I <br /> I SERVICE BOX- PLASTIC - C 1 / I <br /> -F— _. <br /> I METER VALVE <br /> ' METER No. . �._ TYPE: __ I �9 --�---- -- — <br /> � METER BOX CONCRETE SMALL LARGE I <br /> �_ --- _—i __— <br /> .2'� �cGOISS. �Oct/'.fP S�'ii _ <br /> ��OCD_IGt. C U I���1X-�S��'.(� I -- — <br /> � ,�7a O �--f��S�r_.r{� --�- — — <br /> i <br /> i -- I-i�—I— -- _ <br /> �ON .xz _3�r — y� hrJ . <br /> I DATE INSTALLED: ,�- /7... �-7 � OFF ,X(- � _ ./ /SY B TOTAL <br /> � 7 i <br /> I COOE I LABOR ANO EOUIPMEIJf RENTAL � MOUFS pAT[ <br /> I / V <br /> � _��TUJ��1Sof�—__I c� <br /> � I —L�U!1 " _I� <br /> �� J(— _ _ -`` '—�O/�/�.er- ��L --- <br /> I <br /> � ' - -- --- 6os �(=c.�` --�- S <br /> I I #��/_ I �� - <br /> � I - -- � 3� 2 - � <br /> I � ------ ___ ��7 0 —i � -- <br /> I— <br /> I /` TOTAL <br /> � REMARKS: �� �� I�. Ir /Y/CL/�'� I r "11 � L✓P'(.__d��` ` cJ I- C c�/` G <br /> `�r�_ _. ,. <br />