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APPL. ���j !7/ CITV OF EVERETT <br />No. / / <br />APPLICATION FOR WATEi7 SERVICE <br />� FIXED L 0 <br />� <br />� DEPOSIT �OO <br />SERVICE (BV �DDnE68)_.5-���-� <br />OWNER ���'VY—t�--LeL_LS�'-l�%�'Q�':�---CONTRAGTOR_ <br />INSTAL /L�—�ET RED SERVI E+--- - -- — <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER OEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEFEAFiER CNANGED. ewNco: X_ <br />M�TERIALS �i IN. � 1 IN. ! 2 IN. <br />PIPE /h�STI�__-__—_EEL �%�I-_ <br />CORPORATION � <br />CURB COCK OT I <br />5cRY10E BOX PLASTIC •• C I I <br />ME7ER VALVE �--��-��� ���� � � ���- � — <br />METER No._�_�I_7_... TYPE: ��"YE/�,_.�_"-I_'�— <br />METER BOX _CL1ClOR£T�� _ MAIL . ARGE I__ �_ <br />` �]r C p I__ <br />-l+ti�7T�"_ �.f�� ____ /.�O-c/!1� _��I <br />�/ 2tt /--- T_'�'_. -- - --�----'— — <br />�J_�2�� __ ,6�,��1 - --� - -� �'- <br />—/_S��'s— - — � <br />�� ��– /l1��IL_ � 1!� ,� <br />DATE INSTALLED: /•/,� �� Q�a I � OFF '�'�" � <br />p�/ V <br />CODE I LABOR AND EOUIPMENf RENTAL � <br />REMARKS: <br />SERVIGE <br />ORDER/;� NO. ' � : ��'�-'�// <br />DA_Ii�• P�U_t9� <br />w. o. � <br />No.—_- — <br />/y"a9��•���/•?y! <br />._ _ L Lt� �i.ti-���'—_ <br />� � PRICE j� AMOUNT <br />_. _-I._- <br />�Cy�JD�TOTAL <br />NO�PS � RATE <br />�.r -J_ � . . ._ <br />_ .�__---� ' �+- - --I-�—� ___-_ <br />�.i_ _ � — , -/— _ _ _ - _ <br />0�03.Z $ - -- <br />�-�9- ���� -1 <br />----.__ - <br />--- '� <br />3� o �--_ _ - _- <br />_ � s� — <br />TOTAL <br />G <br />c'. <br />�- <br />�� <br />N S <br />� <br />O <br />cc <br />mc <br />C <br />--� C <br />O _: <br />r <br />-i . <br />m - <br />Q ~ <br />C <br />a- <br />� �_ <br />-i v <br />K _ <br />O n <br />�l T. <br />-� f <br />2 <br />m� <br />v <br />or <br />�� <br />c v <br />3 v <br />m <br />_� <br />� �. <br /><. <br />