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APPL. � /,,. I ��` CITY OF EVERETT $ERVICE <br /> No. ���`1 J <br /> APPLICATION FOR WATER SERVICE ORDER N� 5 O 8 <br /> � FIXED � � � DATE^�„Q�Q��p� <br /> fij( DEP061T��_ W.O. <br /> 7�` NO. <br /> SERVICE (�Y�OD11u�) (S/O C�iyn�tl._E�CiCc�l�✓'e- BLK._�LOT—��—ADb.�j.q1.�jA,fCYTNO <br /> C� A T_•�T <br /> OWNER__.� h u r� p \r �w �'I��y�(fj��yGONTRAC70R � <br /> �/_� —FLA --- — <br /> INSTALL`!1-� RED SEp'�!G i <br /> I HEREBY APPLY FOR THE USE OF Wi'� „R IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WA �R DEPARTMENT NOW EXISTING — <br /> OR AS SAME MAY BE HEREAFTER CHAN•, :D. BlcHeo: X � <br /> MATEAULB �'i IN. � IN. �N. — I PpICE AMOUNT <br /> PIPE COPPER•-GALV.-STEEL � � J <br /> GORPORATION � = 7O 0 / �� <br /> L. <br /> cuRe cocK or .T � S� ��_ � —i - <br /> SERVICE BOX PLASTIC - C 1 ! I <br /> METER VA!_VE � <br /> METER No. TVPE: I •6 <br /> METER BOX GONCRETE SMALL LARGE <br /> 3/Y �o7 = `? I —�- - � ' <br /> -- � -�- <br /> _� <br /> -� _ _ <br /> - --� - - <br /> i , i <br /> . oN , � <br /> DATE INSTALLED: /� ,�� I � OFF ' � SUB TOTAL <br /> COO[ � LABON AND EOUIPMENfRENTA � qOUF9 NATE <br /> � R�E�G� — <br /> � -r��-Jr�..7�,I <br /> � O 0 9 7 -�---�c�/.sFr�i—�` �— -- -- <br /> ' ----� c�.-�,�— �—�— -- <br /> i --- �� �� <br /> _ � -----� ��--�� <br /> lo � p�- TOTAL �i <br /> REMARKS: '� ^� � �" � �' <br /> — � Y ��r1 i Sr-'7�!���LL� / i✓S FLLF _ a�� �E- „7 �S/ C. ; <br /> /--�/ �'/ti-� - ^- . <br />