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NoPL ^ O� �! APPLICATION FOR SERVICE <br /> SERVICE �� 9 3 4 <br /> _2r:�77/ CITY OF EVERETT WATER DEPT. oROER <br /> � FIXED / <br /> � DEPOSIT f ���:7•CC �AT ��_�B�' <br /> '— W. O. <br /> ) No. <br /> , a / A <br /> SERVICE (�v DR€881 ''/ �� _f� K-�=� � / _ <br /> -9t_.C....e_n L-. <br /> �LK. LOT �V ADD._�_ <br /> OWNE �"hI �. iC L:Qs✓ �7 <br /> � " FLAT � GON7RACTOR • ✓���r�� <br /> � ._..d!.:. <br /> INST�LL MS�AE.B SERVICE � <br /> 1 HEREBY APPLY I R THE USE OF WAT'cR IN ACCORDANCE WITN THE <br /> OR�AS�SAME MAY BE�IHEREAFTER CHANGEU,DEPARiMENT NOW Er�STING _f�J /, �' �;-� <br /> 6IGNED: X �� l���/� i[. �''j t�� <br /> MATER�nLS 3'i IN, t IN. I 21N, <br /> PIPE ��L� PA�CE AMOUNT <br /> COPPER .C.ALV.--STEEL �(�'� � S� / <br /> CORPORATION �T �`pQ <br /> cUke c co�!( p ' i __ __��� ,���'1 <br /> I � <br /> SERVICE BOX � � <br /> �PLASTicJ" � � � I /[I^ <br /> � <br /> METER VAWE -- �. 7 K.'J <br /> METER Yo. ____ TYPE: I — ------ _� __ <br /> 3fi <br /> METER BOX CONCRETE SMA�L LARGE <br /> i -1, I <br /> -; - - ��- <br /> _i �_ - <br /> DATE INSTALLED: � Ory I I <br /> � '�S' -/'c. I �OFF j f SU� TOTAL / c'/ <br /> fOnE I LABOq qNU EOUIPMENT RENTAI � <br /> I �Y� HOUFS RATE <br /> - I / f _ �J � �i �` � <br /> I-� <br /> I��ya�� �.-�— -_�� , I7 " <br /> i � <br /> � I I --��--- <br /> _�� ----- - --. --I j-- =, `� !i ; <br /> n/ I , -�; I <br /> REMARKS: TOTAL �� 36 "r1 <br /> / <br /> -�'��2� -- - <br /> -.-_ --- - _ _ _ ------5 <br /> -�-__. <br />