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� ���� � <br /> APPLICATION FOR SERVICE SERVICE N� 2443 <br /> � APPL � I r -�O ORDER <br /> � "�' �" CITY OF EVERETT WATER 9EPT. 31.Z� _19•� <br /> � DATE_4 <br /> � �FIXED ��'�� W. O. <br /> � � DEPOSIT s No. J��` ��` ,�Z g <br /> �I /����j C L�UI. `Ll�l'' BLK.--LOT � ADD. <br /> � SERVICE (BY ADORE881 �� <br /> j Tn . �r �^/�.i Cl[JQC/D CONTRAGTOR -- -- � <br /> OWNER <br /> �' 3 " ,�.,�� -- �___ <br /> � INSTALL—�,r—�^+�'�^ED SERVICE �,�,� <br /> � I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANGE WITH THE �����j�� , ,q <br /> ORDINANLES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING 61GNED: X �L ""'�''�`-`�� <br /> � OR AS SAME MAY BE HEREAFTER LHANGED. <br /> MATERIAL9 <br /> 3i �N � I IN � Y �N � � I PRICE AMOUNT <br /> I PIPE �COPPER.-rALV.•-STEEL ;� I I <br /> I CC7RPORATION '/ — � <br /> U R� OT I __-- <br /> I SERVICE BO�C�" G � _ I . -- <br /> I METER VALVE — — <br /> �— .--.TYPE: I 56 —____ — _ <br /> iMETER No. �_.. — <br /> � SMALL LARGE <br /> � METER BOX CONCRETE -- ---I <br /> �"-- — i _— _,-- — <br /> L-- .� � �,,�r �- .r7'oc � --� ��— — <br /> � ' �= � <br /> � .Joo. ./�j C o���f11Ya s :,�, --� �_�.— — — — <br /> � -�--i � <br /> � I ka ON <br /> ��J SUB TOTAL <br /> I DATEIN57ALLE�: !� � � �� � OFF <br /> /I� 1 ` � / �10UR5 RATE <br /> ��I �,qBOR AND EOUIPMENT R[NTGL -- �' <br /> I � I T <br /> � - — �% ��_�-_ � ---- <br /> � I� _— -- - =�y "�=�-���J —I—� -- <br /> � � � ( __�f---> // ��— <br /> � ��1 � ' I � — <br /> � I� ------ �_`1f-r— �j — — <br /> I I i � �/-' � ' <br /> I_ TOTAL � <br /> IREMARKS: /?_ �� I�, I� If / c. •� L — <br /> I _ e22—��'- -G � /�-__ <br /> --ar_�,_, . ... .....,_._ ., <br />