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APPL. �S�'Q / CITY OF EVERETT ORDFIRE NU. �; :) :IG <br /> No. <br /> APPLICATION FOR WATER SERVICE �j� S <br /> ok`(�G,-��—t e� <br /> � FIXED � <br /> � DEPOSIT s OO � No�� -- <br /> 3'a/R��3 ~ <br /> a�� 7 � % _a��z � <br /> SER`�!CE (BY ooREee) � LOT ADD. � <br /> 7 <br /> O'NNE V �� ' CONTRACTOR -- <br /> INSTAL, 3�MF.TERED SERVICE— ---- <br /> I HEREBY APPLY FOR THE USE OP WATER IN ACCON�ANCE WITH THE H H <br /> ORDINANCES AND POLIr�ES OF THE WA7ER DEPARTMENT NOW EXISTING `-ii�/'� �¢�.... ._..A ] �'7 "7 <br /> OR AS SAME MAY BE NEREAFTER CHANGED. 6Ic�+Eo: X ._�_` - — �"�t �`� H � <br /> MATERIALS ji IN. 1 IN. � 2 IN. I I I PRi�E I AMOUNT �O <br /> PIPE ���j���� . COPPER-- GALV.•-STEEL �,a �I _I [rJ <br /> Y— <br /> CORPORATION _ �_ _I _� . � <br /> CURB COCK1 OT I _ __ ._ � <br /> SERVICE BOX� � PLAST�-- C I _ I _. p z <br /> METER VALVE -- <br /> METER No. ____._�___ TYPE: �--_i >6 ____ _ � � <br /> N <br /> METER BOX CONCRETE SMALL LARGE _I__. _ � <br /> M c��c ��,�^ —r .pr���,r� ������;.�_� I —� � <br /> . -, _ <br /> � ,���- 7 5'C' �:vir,_�'�i ---I H <br /> H-/5-c'� 7 � -- �-- � — -- N <br /> ---_ �- --�- -- � � <br /> _ -� --- � �. <br /> -- � � � <br /> ��-'O N <br /> � � � <br /> DATE INSTALLED: �j� OFF SUB TOTAL � <br /> CO�E � LAOORAND EOUIPMENfRENTAL I HOURS pATE <br /> �. I �� L/ I [ 'r � <br /> I - . _ y- - F-i <br /> _ -') .��/'f;/ slJ u� �_4 ;, �y <br /> I __ _�/�� I_ i — FS <br /> ' —�6j�0_ _�-� �_��i��� n <br /> � �--- I — � <br /> --, _— <br /> � --- - -- — --- — <br /> I _ _`_ TOTAL I _ <br /> REMARKS: _ , <br />