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APPL. <br /> N�. 29 �'3 CITY OF EVERETT SGHVII'�N_ 7 9 3 9 <br /> APPLICATION FOR WATER SERVI E �ROER � <br /> �FfXED '-�I�vS� DATE��3 lp__ <br /> � DErOSIT s �C� W.O. <br /> No. <br /> SERVICE l�r��-o1o�c������_ ��A,//}t�'i /�1�//'` -- <br /> OWNE <br /> FL___T � Q/�/� O BLK._ LOT ADO. <br /> FLAT �f CONTRACTOR <br /> INSTAL . IGE <br /> I NENEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMEN7 NOW E%ISTING <br /> OR AS SAME MAY BE HEHEAFTER [MANGED. •�c�eo� <br /> MATERI�L6 �4 IN. � Ih. i i i'n. ' ---- <br /> PRiCE ' AMOUNT <br /> �'�PE COPPER-• GALV.--STEEL _ � I <br /> CORPORATION I j-- � <br /> �. � � _ <br /> GURB COCK OT — — --i j�— � � -� <br /> SERVICE BOX PLASTIC -- C 1 � <br /> METER VALVE — — . <br /> METER No. __—. _ _. TYPE: —� I �°_—I _ —_—_ __ , .___ ____ _._— _—._ <br /> l. __,_—i <br /> METER BOX CONCRETE _ _SMA L LAR E � I I <br /> —i—_—I�_I .____ __ <br /> —_ — __ _� __�_�'__— _ _ <br /> — � I �_ '_ <br /> - - -� --� I <br /> - -- - --i �_- <br /> � � I I i - <br /> I <br /> � ON <br /> OATE INSTALLED: � OFF SUB TOTAL <br /> COUE I LABOR AND EOUIPMENf RENTAL <br /> IIOURS pATE <br /> I __ �_—I <br /> ' I <br /> _ ___ I ' <br /> � __"____ "_ I___ �___ <br /> __i 1�-0 -ACTION <br /> -- - - -- -----��-_� <br /> I Will be taken on service <br /> � PP�ca ions without a <br /> __ I — <br /> .- , ,� ,�, �i � <br /> REMARKS: <br /> 4CLL�G(�C/v TOTAL <br />