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■ <br />n„°�. APPLICATION FOR SERVICE SERVICE y° � O 2 3 <br />N�. � 2 0 374 ORDE <br />.�� ��,/_ CITY OF EVERETT WATER DEPT. <br />� DAT ��i(�= �--7b-79�� <br />� FUCED � <br />� DEF'OSIT S l�Z`S. �-{ N �i <br />� <br />/� F ✓ � J ���ut,i�t'�j �---- <br />SERVICE (B E�B) ��� `"� �c���� BLIG. LOT sDD. <br />.J�j� r� �.���((( 7 1 <br />OWNER C" �"-L��� �Y � ��"� COI�TRACTOR �'h�'����-�_ <br />S FLAT <br />INSTALL_�METNF�B' SERVICI° <br />I NEREBY APPLY FOR THE USE OF WA7ER IN ACCORUANCE WITH THE //�/ J i <br />ORDINANCES ANU POUCIES OF THE WATER UEPARTMENT NOW EXISTING �, I,1 J.(.,L.�L Lt.c-'��'. �•. <br />OR AS SAME hUY BE HEREAFIFlER CHANGED. s�cNeo: X ! °'` <br />MATERIqL9 I�/i IN. 1 IN. � 2 IN. I Pp�CE AMOUNT <br />PIPE COPPER -• GA _V. - STEEL �_ , 5G. � <br />CORPORATION __ _� I I II ,'/ V/S <br />SERVICE BOX �PLA'. <br />� <br />ME7ER VALVE <br />METER No. <br />METER BOX GONCRETE <br />-- G 1 <br />TYPE �5 <br />'.�MALL LARGE <br />� ON <br />DATE INSTALLED: � Q-OFF <br />��-'�u-r:�1 <br />CODE I LA60R AND EOIIIPMENT RlNTAL <br />' ��'i�4�iK — <br />I - <br />� <br />REMARKS: <br />�/_% Y SUB TOTAL I �57� <br />� Gf,�,��.< < <br />� HOURS RATE <br />_ � . .. . . �i -�_ <br />_"__ I� ..� II�__1�I��_ <br />' I <br />_ � li II I — <br />__ _ - —__�,I I <br />— — ��— I <br />� � <br />TOTAL I J ��'� <br />l <br />. . _.___ _.. .__ _ . _ _ . . . � <br />