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1 <br /> �- <br /> . ... � ..�� ,ii <br /> � � .. _ ��Jy....,, <br /> � APP�.T"�•I ��� APPLICATION FOR SERVICE SERVICE N� Zp�� <br /> � No. pC I ( ORDER <br /> � CITY OF EVERETT WATER DEPT. ��z_ -�5-� <br /> i DATE . --19— <br /> � '�FIXED «,' <br /> n-7 W. O. <br /> i � DEPOSIT s (� / �1 No,_ . <br /> I SERVICE (BYAOonESs) �I(� il(J �UG(C¢/i �L➢E BLK�"'�' LOT�—�ADD�GQ��— <br /> �� <br /> i OWNER�QS7D�L�� � --CONTRACTOR__ ___----- <br /> 'l � <br /> I INSTAL� I METERED SERVICE — <br /> I I HEREBY APPLY FOR THE USE O° WATER IN ACCORDANCE WI7H THE - � <br /> ORDINANCES AND PJLICIES OF T4L WA7ER DEPAfiTMENT NOW E)(ISTING '� � �� � <br /> I OR AS SAME MAY BE HEREAFTEH CHANGED. 5lcnco: X.���c�-/-�13- 'i-`r �Y1 _ <br /> i <br /> MATERIALS �i1N. IIN. � 21N. I I � PRICE NMOUN: <br /> � / <br /> � plpE COPPE -GALV.-STEEL _ / _ _ <br /> � CORPORATION I __ _ _� <br /> � CURB COCK OT _I <br /> f— I <br /> � SF.RVICE BOX� PLAS7IC -- C 1 —� _ _ <br /> I METER VAWE �� _ <br /> METER No. ��`�_ TYPE:�ll�f�ti f=�� I _S _ _ _�_ _ �I <br /> f � <br /> I �METER BOX� CONCRETE SMALL LARGE __ _ <br /> ! vrPd C� sTi �r.� r_rr_ � ��;;�_ _ � _ _ — _ <br /> _ � i ,� _�� -�— — <br /> i �- <br /> � - --� - -{- - <br /> i ; � - <br /> i I �N <br /> I DATE INSTALLED: /��_ ,� � OFF SUB TOTA'_ <br /> COOE � L�BOR ANDEOUIPMENfRENTAL HOl1R5 RAT[ <br /> � ../ � �/ .. _I_3_ _ <br /> ' I —___ —. G« '__ _��—_ r -- — <br /> I I �^� � /(/ � /�/ I .� —___ —'_.--__ <br /> � � ���f'� L ��� I � _ --_ <br /> � ' ����- �- 7 72 IL— <br /> � � _ - �- - — <br /> � i --__��------- �--- <br /> � � -- � <br /> i TOTAL <br /> � REMARKS: J��. ./. ,,7-,i _�_ _"_- —__ /�,' . . _— <br /> i- <br /> ���/ <br />