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� '�..'. .':�' Li' .... <br /> ' �PP�,��/��j/� C_J.�J/� APPLICATION FOR SERVICE SERVICE No � �1 5 <br /> � No '�f'v / (L' V� ORDER <br /> � CITY OF EVERETT WATER DEPT. onre �— /7—+9Z� <br /> ; � ED �V W. O. <br /> � � DEP091T s O -- No.— — <br /> l�i4L G L�'.J <br /> � .s� (j�� /��J �{ ` <br /> I SERVICE /8Y ADDRE88)-�T—LGT<=/.-����F:L+� �G��BLK./LOT-✓�ADD. I./��1— <br /> I OWNEA Q `���—��d T� GONTRACTOR �' �_�NT�-'�f' <br /> � / FLAT <br /> � INSTAL, 3/ M�IfD 5ERVICF , / �'--'�� <br /> I I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �- % / � - <br /> I ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING ^�_���/J � T�,.,�_�_ <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicNeo: - / <br /> MATERIALB � IN. t IN. � 2 IN. � � PflICE A OUNT <br /> p�pg COPPER- GALV.--STEEL <br /> I CORPORATION - <br /> CURB COCK OT � — <br /> I SERVICE BOX PLASTIC(C I � I �_ . <br /> � METER VALVE --- -- --- <br /> � METER No. TYPE: I '6 <br /> � _- . _ —_ _ __ <br /> I METER BUX GONCRETE SMNLL LARGE _ ___ _ � <br /> I —I —� — — <br /> I � I_ <br /> I <br /> � <br /> , I 1 � I <br /> C� ON /I <br /> � DATEINSTALLED: SUB TOTAL <br /> � � t � 3 f�-�FF � , . .,,,� <br /> C�I ' L�UOR AND EOUIPMEN�fFiENTAL � I HOURS IiATE <br /> �I — --_ I — <br /> I I I _ <br /> �I I__ --_ <br /> I I I <br /> I <br /> I I_ _ — _ __ _I ___ <br /> iI - '._I_"_ <br /> iI I TOTAL <br /> 1 • <br /> I REMARKS: � `� '�/� ^�__' ___ _________.__' _-__'__y '�-I,�, � <br /> � /J—�"b�__-' .' . <br />