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1 1 � <br />APPL.��/�3 <br />No. <br />� r•ixeo <br />Cj OEPOSIT 5 �OO <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVIIIE (BV AODR/EJ88),�� U �'0' ��L[ <br />OWNER__v��.W (� � <br />/i �.�iL— <br />INSTALL�y� METERED SERVI E � —____ <br />I HEREBY APPLY FOR �HE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AN[ POLICIES OF THE WATER DEPARtMENT NOW EXISTING <br />OR AS SA'AE H.Ai BE HEREAF7ER CHANGED. <br />� MATERIALS � <br />PIPE COPPF_R <br />CORPORATION <br />CUR9 COCK UT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE �i�� �)�� <br />-----.�.a_R_LZ l. ,� � <br />METER No. // j,�p TYPE:C`Av� <br />R BOX <br />-- a 'x-�"'�. H� <br />`qi"X .J'� C• /. N/PPL <br />��D �... <br />LL <br />.J���NFY£fLfL�.�eG ___ <br />� i�1 orv <br />DATF_ INSTALLED: �_/`_ 7 7 I �� OFF <br />COOE I LABOR AND EqUIPMEN�fRENiAL <br />REMARKS: - - „-, <br />SERViCE - �� � �- <br />ORDE:R NO. _ . .. . <br />DATEIJ_��.__19� <br />W. O. <br />-�� . % 8 � �:� a 8 �-��-e=s <br />LK.___L07 .AD�._ _ <br />BIGNFO' % J_ <br />IN.! t IN. I 21N. <br />;�.� o `-• � — <br />-- --- —1 /' �0 ��j1"�a�_ <br />��--/ � — <br />/,l � �i/i� 1� �.3C-R <br />PRICE j� AMOUNT <br />SUB'iOTAL <br />HOURS FATE <br />8 <br />� <br />R_ <br />TOTAL <br />