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IAPPL��',��`''/ /�/ APPLICATION FOR SERVICF. SERVICE N° 1708 <br /> � No. (G� OROER <br /> I ClTY OF EVERETT WATER DEPT. <br /> � �i£IXED DATE�+� ���1977i <br /> O�� <br /> I � DEPOSIT S �Q� -- W.O. <br /> i C/G'�c J �/� �piLfE�-ro' <br /> I SERVICE (er ADo Ese)_L1L�'—Y ����L'� �-- � BLK. LOT �T �ADD. r���� <br /> iOWNER �L-`�-f �'�i3'�� GONTRACTOR�9-1�E <br /> ���ir FLAT <br /> I INSTALL M���p SERVICE <br /> I 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � <br /> � ORDINANCES AND POLICIES OF THE 1�ATER DEPARTMENT NOW E%ISiING � �� ��Ce"`-�y"� <br /> OR AS SAME MAY 6E HEREAFTER CHPNGED. e.L'��n: _ t_� —. <br /> MATERIAL9 �ii IN� - 1 ti. � 2 IN. I I�' PR�CE AMOUNT <br /> I PIPE COPPER--GALV.•_STEEL I�� <br /> I CORPORATION � <br /> � CURB COCK OT _) <br /> r <br /> I SERVICE BOX� PLAS7IG -• C I I �� <br /> I METER VALVE <br /> � METER No. TYPE: _ I ?i <br /> I METER BOX GONCRETE SMALL LARGE <br /> _ I � <br /> � <br /> � <br /> ——I � — <br /> I <br /> I I I I <br /> � � ON <br /> � DATEINSTALLED: � OFF SUB TOTAL <br /> COO' Q '� LABOR ANO EOUIPMENTRENTAL I MOUqS HAT[ <br /> ��I -- I <br /> I I I _ <br /> I I I _— <br /> I I <br /> I I I <br /> I I <br /> I I —_' � <br /> I� <br /> � , Torn� <br /> i REMARKS__— _—J-�_ —_— _ ._f�_�—��_—�.___ '' i .. .�I.� . ,� /`�f'; � <br /> _�—._� <br />