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APPL./ ��' APPLICATION FOR SERVICE SERVICE �a Z p q 5 <br /> � <br /> No. � S �, � � ORDER <br /> - CITY OF EVERETT WATER DEPT. '' -� <br /> DATE_' � —19�i <br /> � FIXED {� <br /> , �-p'DEPOSIT S ( � J � U :^� No�� -- <br /> ;uv � <br /> � � , >�-� � ��`7���� auc.`����—� �or���'i��'�noo�� :7' 0 .[Vi<E�2r <br /> I $ERVICE \'ADORE�6) p �q• ( <br /> � OWNE � F�� n{�a� � �����+ N 1����n1�1�' CONTRACTOR <br /> �'�����`(iT7 7�FLA7 <br /> M�O SERVIGE_ �r� <br /> j I HEREBY APPLY FOR THE USE OF WATER IN ACCOfiOANCE WITH THE , '/ � i�� <br /> ORDINANCES AND POLiLIES OF THE WATER OEPARTMENT NOW EXISTING ��S`/,S, G�__y��,i�_,`__ <br /> I OR AS SAME MAY BE HEREAFTER CHANGED. sicNEo: �C.�. � <br /> MATERIALS � W IN.� 1 IN. I 2�N• I � PRICE AMOUNT <br /> � PIPE _ CCPPER -GALV.--S7EEL � <br /> ��COR—PORATION I —�— -- <br /> C� URB COCK OT I � — -- <br /> ,s" / I <br /> � SERVICE BOX� PLASTIC C I _ _ --� <br /> I METER VALVE ____ _ -- - - --- <br /> � METER No. _ TYPE___I �� — — <br /> �_ __ -- —_ <br /> � METER BO% CONGRETE SMALL LARGE _ __ _— <br /> � ._� <br /> � - � I �-1- - - <br /> _-i <br /> i -I I - - <br /> - � <br /> i - I I <br /> �q ON <br /> � �� /`/ / SUB TOTAL <br /> I DATE INSTALLED: y //_ 7s� OFF f . <br /> C� / L�BOR ANO EOUIPMENTRENTAL � MOURS R�TE <br /> � I� <br /> i II —__ —_ ___ I�_ <br /> � �� � --�L� —�/�-- I--�— ---- <br /> � I ,�'�i�.—_ i L— <br /> I � � � <br /> � � __�r- _ ___ � <br /> ,__� __- -�-- <br /> I— TOTAL <br /> � <br /> IR[MARKS: l � F C. ��iC_ --�/i� �a.•t _ /�7�L- <br /> i__—�i11.�:�t��0_L!_�� f,s���-- I� �� <br /> , G�>n % ��� � , ,� �G�« � C � FunoLn� ti. Aci�at � .Sr ' <br />