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, <br /> r .y. <br /> �: <br /> . . . <br /> ._ ��� <br /> APPL p< ,�''.�� CITY OF EVERETT SERVICE �� ,�.� ���., .� I <br /> No � 9 1 ,qPpUCATION FOR WATER $EHVh ORDER NQ �". . �. <br /> FIXCD DAT���- =_19L,L <br /> � B.% <br /> � DEPOSIT s �(J O W. O. <br /> NO. ___ <br /> ��7 �� >/ / [�) -,,, 0 <br /> SERVIGEcerwooneea '1-L�(�7'=�I�Yrl, �[�-��fc�'(gLK./�OT�� _��27�=�CG �rJ/ <br /> �.";� / /l <br /> OWNER—/.,U Q L'�'� � ���CONTR 4CTOR_____ ___ <br /> // / <br /> INSTAL�_ME7EREd ERVICE—_—_ __. <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOFDANCE WITN THE <br /> OPDINANCES AND FULICIES OF THE W�TER DEPAR7MENT NOW EXISTING ���„`�'�1� ���_�` <br /> OR AS SAME MRY BE HEREAF7ER CHANGE�. s�cNeo: X . L_ <br /> MATEHIAlS }i IN. I IN. � 2 IN. I � PRICE� �MOUNT <br /> PIPE �7'�_ _ COPPER-• GALV.•• STEEL y��_ � _ I <br /> CORPORATIUN � <br /> yfC,�URB COCK OT � I <br /> �— I <br /> (5'cRVICE BO' / LASTIC •- C I � <br /> '���_'�_ _ —_ __— _. — . <br /> M87'ER 'JALVE <br /> _METER Vo.____� TYPE: _—��--�� I p5 _ —__ . <br /> METER BOX CONCF;ETE SMALL___LARGE �_ <br /> _������G�f(D _ �_� I_ �— — <br /> _ f-1� Is`'a 73 _ -- __ � � �_�— _ � - <br /> — � �_ — -- <br /> - - --- - -i-� ��---�- -- <br /> CN <br /> � DATE INSTALL�D: /_ /� J�i I �OFF SUt] iOTAL <br /> .i �� <br /> COOE I LABOH AND EOl11PMENf RENTqL I HOlJRS RATE <br /> -� ����� _� r- <br /> —I — -- — / �,oL7r..r-a.q/—�-f' — — <br /> � P/ <br /> 1 ! �_ -� <br /> , —- � _ �( J G{� I S` — --- <br /> _; _ -��Y-�- ,��'�����- i .� __ <br /> -i=- -- -- -�_- - - <br /> TOTAL <br /> REFtARKS: <br />