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17 <br /> ^ ���' <br /> ; ,. <br /> i l/ <br /> � ���f1 AP�?LICA710N FOR SERVICE SERVICE No 1758 <br /> I NoPL• �� � ORDER <br /> � CITY 4f EVERETT WA?ER DEPT. �` <br /> �ATE�J_ --�g�� <br /> I �IXED <br /> � w. o. <br /> I � DEPOSIT s � No._ <br /> � �'92� Fin�'s L �� ����� <br /> I SERVICE (BY AODAE96) o � BLK._.—LOT_ ADD. <br /> i OWNER �GLCF AT�U���� /�� CONTRACTOR �---- <br /> 7 :r <br /> I INSTAL J 41�fYYD SERVICE — — <br /> I I HEREBY A PLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �%J/�� } <br /> � OH ASASAME M�Y P ELIHEREAFTER C ANGED DEPARTMENT NOW EXISTING B�GNEp: :�� _ ���L`����""'* <br /> 1 MATERIALS �i IN. 1 IN. � 2 IN. I PRIGE ( AMOUNT <br /> 1 I I <br /> I p�pg COPPER--GALV.-•STEEL <br /> � CORPORATION _ �I�— - <br /> CURB COCK OT I I I_ <br /> —I II <br /> I SERVICE BOX PLASTIC -- C I _ _.I.� -- <br /> i METER VALVE __ ----I— —� <br /> � METER No. TYPE: ___ I K _ __ _— <br /> � <br /> I METER BOX CONCRETE SMALL LARGE ___ ___ <br /> � I <br /> I I _ _— ' <br /> I � — I _ <br /> I <br /> ` _--" — —I _ <br /> I I � <br /> � <br /> I I � ON <br /> I DATEINSTALLED: � OFF SUB TOTAL <br /> LABOR AND EOUIPMENT RENTAL I HOUR'i fiATE <br /> �COOE � I <br /> —I C;C! .CD C J f!V� r 5 _ <br /> � I ia� ��- Na�-� a cu,- 6, — � -- <br /> i � //�6 � G✓PS�� Oh(f/[ w.�r t f�9?3 i -- <br /> I j _ I — <br /> I I - I <br /> i II �-�-- I - <br /> I-- TOTAL <br /> �I � _ — _--_ - . i._ i . . _ <br /> REMARKS: '�•' t ' ' / (' ' __._� _-__-----.— <br /> �— i _-• <br />