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APPL.��7 �J�O � ' APPLICATION FOR SERVICE SERVICE (v° ; 4 9 5 <br /> No. � 7 / ORDER <br /> CITY OF EVERETT WATER DEPT. -7� <br /> � FIXED �jO� DATE � --Zs _19_IL <br /> � p6ppG17' s W.O. <br /> SERVICE (eYwDOAes51—�J�a � L �C���N P4,*CF BLK. LOT �—_noo.EHFJ2� i'AfZK <br /> OWNER L�R�� ��IL-`� S CONTRACTOR �'�/LL/ `–i �-y�GhjES <br /> � FI.AT <br /> I NS�ALL�_M E�iilE9-MfdtfCE <br /> I BEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE C / <br /> OR[11NANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING � �' F �`.� � �� ' <br /> OR AS SAME MAY BE HEREAF7ER CHANGEO. s�cNeo: X ��_�__!_�__J � <br /> MATERIALO � IN. 1 IN. � 2 IN. I� PRICE AMO INT <br /> P�PE COPPER•-GALV.-•STESL <br /> CORPORATION I I_ <br /> GURB COCK OT I ��`(--� —I <br /> SERVICE BOX PLASTIG -- C I � �I I_ <br /> METER VALVE <br /> __�_—_— <br /> METER No. _ TYPE: I 3e I___ I—� <br /> METER BOX CONCRETE SMALL LARGE I l <br /> —_ _I ^I I <br /> i <br /> I_ —I �I_ <br /> � � <br /> I I ( <br /> _ I _— I <br /> I I <br /> ON <br /> DATE INSTALLED: � OFF SUB TOTAL <br /> CO�E � LApOR AND EOUIPMEN7 RENTAL � HOURS RATE � <br /> I <br /> I I I <br /> __—I I �� <br /> I II I <br /> �I -- �j � <br /> _ � -- - - � ---��� <br /> TOTAL I <br /> REMARKS: qtP �% ( C -G. / i� . � ai .� I •• I;`:� ��"� _ `� . <br /> r� / G G �--__ _-_"--_-' _ - <br />