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qppL.����j � APPLICATION FOR SERVICE SERVICE j1�° 1 4 3 1 <br /> Na. L' ORDER <br /> CITY ()F EVERETT WATER DEPti'. / <br /> _ �p DATE�,L --19� <br /> 1 yl'ITC <br /> LI Q /] <br /> (i <br /> � DEPOSIT s �ja�' <br /> �/�� �L..�T—o-7]�— <br /> SERVICE (BYAUORE88) ��L'� +"�� �G � —6LK._�_LOT � �DD����SO/I �/T <br /> OWNER _��'�� �� —CONTRACTOR�=t1�.L�s ^ — � <br /> .9�7� // FLAT X�G' .�. ,��Q'�w��e y , <br /> INSTALLL�—NiiiiMO SERVICF <br /> I HEREBY APPLY FOR THG USE OF WATER IN ACCORDANCE WITH THE �—/�G�/y�G� <br /> ORDINANCES AND POLICIES OF TtIE WATER DEPRRTMENT NOW EXISTING _----1��L_S���D/"/L� /M.- <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicNe�: X — <br /> MATERIALB �i�i IN. 1 IN.� 2 IN. 'i L PRICE AMO INT <br /> PIPE GOPPER-- GALV.--STEEL <br /> CORPORATION L I <br /> CURB GOCK OT I I I <br /> SERVICE BOX PLASTIC -- C I I — �I I <br /> METER VALVE <br /> METER No. 7YPE: I Sn <br /> METER BOX CONCRETE SMALL LARGE <br /> . � I :�.. ,..::-���. <br /> I � <br /> �_ � I— <br /> I <br /> -- —'_—_ —� <br /> I I I <br /> � ON <br /> DATE ItiSTALLED: � ppp SUB TOTAL <br /> COOE I LADOq ANO EQl11PMENT RENTAL � HOUFS p�TE <br /> I I <br /> I I__ I I� <br /> I I j <br /> I I II I <br /> � __ � II _I_ <br /> � ---- -- ( — I—�— <br /> I I TOTAL � <br /> REMARKS: 'l � - � � � J <br /> r ' /� <br /> . _ , : � ,-. , , . . .. . � .. ; <br /> /!'�7 <br /> � J J , — <br /> ------/� � — ---------—— ----'-------- <br />