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APPL. I 9 � ,7D APPLICATION FOR SERVICE SERVICE N_ 3 9 8 <br /> k u. � <br /> ORDER <br /> / ��/. �, CITY OF EVERET'' WATER DEPT. / � <br /> rtf FIX� DATE Z' � _19/e6 <br /> la <br /> DEPOSIT ��, <br /> ❑ S �G. W.O. <br /> SERVICE 1ev,Kon>tcee> ��� � �� � ��-+�-i f �� � �� p�� � � �v- <br /> /r/.�/I �..��C_ � , � , �-u��,C.�-..._ <br /> J T-, � LK.�_�LOT <br /> OWNER /Cl�-f-) C��L[�n '� �La.z�� "� �`7r��_.,r� � <br /> ��-- CONTRACTOR_' � <br /> �J��� ���C7IT / <br /> INSTALL.L_µiii�a SERVICE � <br /> � HEREBY APPLY FOR THE USE OF WATER IN ACCOHD�NCE WITH THE - � <br /> ORUINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING ..;��� i� ���:_ �� <br /> OR AS SAME MAY BE HEREAFTER CHAN6ED. slcr+eo: X � � <br /> MATERIA45 � IN. IIV. �2 IN. � PRICE AMOUNT <br /> P�PE �GOPPER GALV.•- STEEL ��J� —� , S I ,�_�I�_ <br /> CORPORATION — — �I --� <br /> CUR6 COGK �O� I L /�7 <br /> �L <br /> SERVICE BUX � PLA�STI�Q_. C � I �_ v <br /> METER VALVE <br /> METER No. TYPE: I g6 � <br /> L— <br /> METER BOX CONCRETE SMALL LARGE <br /> _. .r_ ° � I_ — � �I <br /> —) ( <br /> � I <br /> I <br /> I <br /> �_� I I I I <br /> � ON <br /> DATE INSTALLED: � _ �_ _ F QGOfF %� � SUB TOTAL �S DO <br /> r <br /> CODE � LADOR AND EOUIPMENT RENTAL � I MOURS RATC <br /> I ;f . � : _ I r ; ; ,, : i�; � <br /> — ! I _�I � <br /> _i �1�; _ ;,�� _ -- I s- , :,�- �i �r�, - �� <br /> '- " I I� <br /> � 17 -�' — � I =' ��I io �--- <br /> _ � � _ ; , j ;:. <br /> TOTAL g� <br /> REN,ARKS; <br /> i- I <br /> _Z��l.< I Y - ------- ----- `� <br /> r_ <br />