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APPL.I�O�/ � � l�PPLICATION FOR SERVICE SEFVICE N° 'I Z O � <br /> No. - - � - ORDER�,7 <br /> �C;J� f:ITY OF EVERETT WATER DEPT. 1 .� <br /> �bf FIXED � . DATE�'�`- I _19'l <br /> 14� �/1 Q,�y <br /> � DEPOSIT s .[JL.�. � � N O. � � <br /> , /� -� �--�`- <br /> 3ERVICE (BY ADORE65)_�/l�I '����C-i1�' � '--'V � BLK. OT.s'�nD �F�L-L-' <br /> �' <br /> /f OWNER — CONT�7ACTOR �������E- �`�'�� <br /> (_�O'7L1W�I�' ,-�� �� FLAT <br /> 1ld9T*tT Yi.iiitED-SERVICE <br /> 1 HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE WITH THE � � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING � �-� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. B�cHeo;X. . <br /> MATERIAlS ?i IN. 1 IN. � 2 IN. I L _"RIC[ AMOUINT <br /> PIPE COPPER- GALV.•-STECL � <br /> CORPORATION II I <br /> CURB GOGK OT I �I I_ <br /> SERVICE BOX P!_ASTIC •- C I I I rI I <br /> METER VALVE ___ — _ _ _-- _— __ � <br /> METER No. TYPE: I 3S <br /> � METER BOX CONCRETE S�tALL LARGE I` I <br /> —_ _— — �I <br /> '-- I �I_ <br /> -- -- � � <br /> I �� <br /> I I � <br /> ON <br /> DATE INSTALLED:,j����, IS/�J��� � OFF SUB TJTAL <br /> COOE ` LAOOR ANO EOUIPMENT FENTAL ' HOURS pATE <br /> I I <br /> � � � � <br /> I I - - I, I <br /> � --- - -i - --�', I <br /> � ----- -- � --ii , - <br /> , � <br /> - - -- ; li I <br /> I <br /> I I -1� <br /> C-�� TOTAL <br /> REMARKS: .� F i J� l' C.-�,.��Y � ' i ! I./ ^ i:-, I i• �r,." '_.. <br /> _ /� I �� f, ,1___'�' �f_-__��-' �_��-"''`-_'_____ � _ -_'-_-_ � . <br />