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, <br /> APPL. �D�� � APPLICATION FpR SERVICE SERVICE N° 6 8 3 <br /> No... _ <br /> ;0.,3�j' CIJ� OF EVERETT WATER DEPT, ORDER <br /> � FIXED yCt;i- . , ..� o;,r�z%�.�sC�r' <br /> 4`_., <br /> � DEPOSI- S�%,ci�, _ W.o. <br /> --��—�J /} No. <br /> SERVICE (BYADORE68)_ `-'•� J `���-1�t7'7/ ��TE�/._���� LOT n <br /> DD.__ <br /> QyYNER __CONTRACTOR <br /> '�L'I�CJ // <br /> ��N 3 !� FLAT . , " � ' � <br /> h1iSf#tD SERVIC /i_L L.C. • �•, i f�t+-� -f_Lc.LG/ � '�c�-. <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACC RDANCE WITH THE <br /> ORDINANCES AND POLICIES Of THE WATER DEPARTMENT NOW E%ISTING � 1 l <br /> OR AS SAME MAY BE HEREAFiER CHANGED, stcrveo: '� G.1J�-�C-' ��`�<-���"�X' �� <br /> � —'f- <br /> MATlZIALS �/ IN.I 1 IN. I .. IN. <br /> L� I PRICE AMOUNT <br /> F'�PE COPpER- GALV.-STEEL �� G/� ij� � <br /> �J� A <br /> CORPORATION I �V� <br /> CUR3 CJCK OT I —II � <br /> SERVICE BOX ° ` ( � — <br /> PLASTIG; •- C 1 �/�r <br /> I "7 _Q_ <br /> METER VALVE _ __ — — -- — —I -- <br /> METER NO. TypE. _ I ,� <br /> METER BOX CONCRETE SMALL LARGE I <br /> ' L_ �G�; / — �--��� <br /> �� i — _ C�G <br /> � � <br /> � pry I I --- � <br /> DATE INSTALLED: //_ / _ � s I � OFF ���,1' SUB TOTAL �i /1 ry <br /> 7 / <br /> CODE � L�BOR ANDEQUIPMENTRENTAL I <br /> i4JUR6 RATE <br /> i��,a� � y _ <br /> .—�— ;, �::; <br /> r � I <br /> i=.� .� _ � .� _ ., -. ;—,i��_,. <br /> � —r— � � <br /> ��� _ I : ;' � _ - <br /> f�r� I � <br /> � • s�l! /n �: <br /> � — -- ---�- I� � _ <br /> � R� S. TOTA �� <br /> __-____--__-___-_-__ � ._ <br /> h <br /> ./ <br />