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APPI.. ���// APPLiC4TIC�N P�R SERVICE SERVICE �1f ° �� G'! <br />No, kq� C RDER <br />����` CITY OF EVERET'i' WATER DEPT. <br />�� DATE � - 9--787� <br />� DEPO5IT g ��' � _'�—' W. O. <br />� N o. <br />SERVICE(BYwooREss>�.G 1_C�—J��(��LU _!�� EILY.. � LOT_ ADD. L�� V-t+_� <br />OWNEQ �� �� � _. ��7�LJ��'AK�S CONTRACTOR /✓Iv�n.G A.�r-f� /`YN _��S <br />� <br />- / FLAT � %�� � �''JC 'y=i�(� <br />INSTALL�����C4�GRED SERVIC:E-- . _______,�:Z���__y� �a <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH TNE / /r\S�Ikv�— -` <br />OPDINANCES AND POUCIES QF THE 1YATER DEPARTMENT NOYJ EXISTING / } a <br />OR AS SAME MAY BE HEREArT�R CHANGEO. S�cH[ ` � t.�. _ .___ <br />PIPE <br />CORPORATION <br />CURB COCK -OT' <br />SERVICE �OX <br />METER VALVE <br />MtTEF No. <br />IdATERIALS �?i IN. � IP._� 2 IN ' I PPIGC AMOUNT <br />COPPEH - GALV. -- STEF_L I� � I I I I I I r¢� II I I <br />METER 60X GONCRETE <br />-- C 1 <br />TYPE: � � <br />SMALL LARGE <br />n T L <br />�'ON <br />DATE INSTALLED: �- �, J � �`OFF <br />CDOE I LADOR A!!�] EQUIPMENT RENTAL <br />2is <br />SUB TOTAL II /� <br />� HOl1R5 RA'E <br />I . � 1 �L�'�% � <br />_ � ;�i1C� _- - �-_ <br />� <br />--, -- �`�-L--�-vi c e "�_ � c, �,_./� l— <br />ivv <br />� <br />I �i ! <br />i I_ �' _ <br />-- — --I <br />— -- ----I <br />TOTAL I�II ✓ � I �G <br />_�. REIdARICS: � �' ' , .I , � . - - .:�� . , /,�;' �_.. - <br />� , . . . � . � . . . <br />. <br />.__ , . , �� .._-�.___ <br />. _— . --.� '_- _--___ ____._"'—_ <br />C-� ", , i <br />