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I <br /> I <br /> � <br /> ! <br /> wPP ��� '� APPLICATION FOR SERVICE SERVICE nl° 2053 <br /> ; N�. CITY AF EVERETT WATER DEPT, ORDF R � 7 7 <br /> I .�IXED DATE�/__�-19— <br /> � UEPOSIT s �1'jy ('L' N�_ <br /> I <br /> � SERVICE (BY ADDREBB)— ? �' _L'L�� •'-�G� � � 9 L�f..� � BLK.--LOT ADD. _ <br /> � OWNER �a,l �I �" l��F JZ CONTRACTOR_L��C_�.J_.L� �-� ��//1-�-L�— <br /> � �F�r�s�.. � —____ ._ <br /> INSTAL� '��" ,/ �/ <br /> � I HEREBY KYL FOR THE USE OF WA7ER IN ACCORDANCE WITH THE �4� // � tL^�/� <br /> ORDINANi.ES AND POLICIES OF THE WATER DEPARTMENT NOW E%IS'fING v i <br /> i OR AS SAME MAY BE HEREAFTER CHANGED. e�cNeo: X . i` _ <br /> MATEHIAL9 ii IN. 1 IN. � 2 Dl. I I PRICE AMOUNT <br /> LPIPE COPP GALV.--STEHL � � I I <br /> I CORPORATION � � —I— <br /> ' CUR�B COCK � OT _ _I _ -� <br /> � I <br /> LSE�VICE BOX PLASTIC � __ <br /> I METER VAWL": <br /> METER No. TYPE: I aF <br /> �_'-— __ _ <br /> METER BJX CONCRETE SMALL LARGE __� __ <br /> � I <br /> 1.�" , _ I —�_— __ <br /> � c _— � �I <br /> � 'n r S �' � �/� _ I �-J— '_ <br /> � j/ � „ � ef �. i <br /> � --I --I— -- — — <br /> 1 I I��I <br /> �- N <br /> I DATE INSTALLED: �� ?_ HS I O pp � SUB 70TAL <br /> J / <br /> p�l LABORANO EO�IPMEN�fRENiqL � HOURS RATE � <br /> �— Pr�G��--� aZ � <br /> I � a n//t y ��_ — -- - � <br /> I I �' 310 d I ' J _ _ <br /> j i �����e.?o 9 ���— -- — — <br /> � � �,� -- � - — <br /> i <br /> � i — -- — <br /> I--- • <br /> I TOTAL <br /> I REMARKS: ,S'p 1..� i C(-' i, � L''%G.f.,���-., _... <br /> _---_���n,��—L <br /> --�__ <br />