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nPP�. ��b' � APPLfCATION FOR SERVICE SERVICE N° 2436 <br />' No. OR�ER <br />GTY OF EVERETT WATEh DcPT. --� <br />� �FIXED DATE_ ��._19��_ <br />c. <br />`�l W. O. <br />� ,� DEP951T 5 �-C`"� _ No. _. <br />Gz�o e�,•.E r, �l ��' ,� . <br />1, SERVIGEterwooaEss� �9� ���� BLK.—� LOT�__ADDir-���c�^-+�L"r1- <br />i .r . -> <br />..(FLA7� <br />I INSTAL 'L �t�'�f .METERED SERVICE <br />I I HEREBY APPLY�FOR 7HE USE OF WA7ER IN ACCORDANCE WITH iHE <br />I ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY 8E HEREAFTER CHANGED. s�cr+eo. <br />� MATERIALS °u IN. f IN. � 2 <br />� PIPE �COPPER.-GALV.--STEEL J� <br />I <br />' CORPORATION <br />t / I <br />�ycURB COCK� OT _ <br />I SFRVICE BOX- PLASTIC = C 1 � � I_ <br />� METER VAWE � <br />I M� o _— . — TYPE: —_—' _I S� _ _ <br />j METER BOX CONCRETE SMALL LARGE <br />7 '� � I <br />� ii �. o /?— ( ;�.5 P . _ — <br />rn ON <br />DATE INSTALLEO: �,�/. � 7 I O OFF <br />COOE I LABOR AND EOUIPMENf N[NTAL <br />�� <br />� �% <br />�> ' "_ <br />t <br />PRICE <br />SUB TOTAL <br />HOURS � fi/TE <br />V <br />aeMnRKs: ���:_�/ c'X/r_���_ t'�J�'_Jrr ���;�� _C��L%^'%��_1"_f'•" .`% -- <br />AiMOUNT <br />