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� �.rP�?Z `"��}� ppc�,�AT'D�: FO!: SER!'�CE <br />No. <br />I CITY OP EVERETT WATER DE�T. <br />seFv�cc ��� 2 � II 9 <br />ORDE^. <br />. �.-FIXED DATE �-�� --197Z <br />�/� � w. o. <br />�, � OEPOSIT 5 �L-�� No.— ----' <br />SERVICE (BYAooRess) � ��Z`'.7 �/✓ +��=•� 6LK. LOT� �___ADD������N -- <br />`'�,,.,,, —�'!1[;!c'. <br />O\YNER�_ (�'--�" L�=�'�=��-� CONTRACTOR —. <br />' �f .' ` CF�'_' <br />I INSTAL�—METERED SERVICE------ -- — <br />I I HEfiEBY APPLY FJR TkiE USE OF WATER IN ACCOROANCE WITH THE � <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING —� U� <br />I OR AS SAME MAY BE HEREAFTER CHANGED. slGr+e�:X. —�. —(�-�-"`��- - <br />. MATEPIALS ���IN.I IIN.I21N I I I PRIG�I AMOUNT _ <br />� PIPE <br />I� CORPOR—ATION <br />i CUR� 0 COCK <br />f <br />I SERVIGE BOX <br />�� METE!? VALVE <br />�� METER No. � <br />METER BOX <br />COPPER GALV.--STEEL �/� I <br />' � <br />OT � <br />PLASTIC - C 1 I <br />—_ / _ <br />.. —_— TYPR' /(1 /�.d�% I 44 �,—I — <br />CONGR6T� LARGE �__I <br />�� � __"�-�^'� <br />__ _ —I <br />"- �. � . .0 � �S �1.4 iY ff - --� <br />I DATE INSTALLED: <br />cooe�_ <br />REtdARKS: <br />_ � L� cN <br />— / ^ ' ] f I � OFf <br />!/ ! <br />LABOR AND EO�IFMEN(A[NTAL <br />h• � <br />.� <br />1 <br />SUB TOTAL <br />Hou�:s � anr[ <br />TOTAL <br />