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nrr�. • 1�i'� APPLICA710N FOR SERVICE SERVICE p�o 2 q C_ <br />� No. �r� ORDER <br />CITY OF EVERETT WATER DEPT. [A'' <br />- �FIXED DATE_s __L�_—_.__19� Z <br />� �ry� C{J <br />� OEPOSIT��W /Ncy�_______ _.--_ <br />I �-7� (�/��-y� A I /L��4 � <br />SERVICE(BYAooREeel -. a .'�'t_ �w`�'^" ^'J�' BLK.._�J—LOT�_ADD.��CzC��-_ <br />I ^�� � i C��SU-Kl-3 <br />� OWNER_I�--1.�--`�1��-�/L�/�J ____CONTRACTOR -- — —__- <br />�FLA <br />I INSTAL 3 lR'E'fE2�E� SERVIGE------------ 7 \ ---- <br />i I HEREBY �PPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE 7/ � � � ` <br />� ORDINANLES AND POLIQES OF THE WATER DEPARTMENT NOW EXISTING /,//v/� . N � — _ <br />OR AS SpME MAY BE HEREAFTER CNANGED. sicNEo: Z(fJ[z �.��„f(J ._ <br />� MATERIALS I� IN.I 1 IN. I 2 IN. I I I PRICE �L AMOUNT ._ <br />i PIPE <br />� CORPORATlON <br />CURB COCK <br />� SERVICE BOX <br />� METER VALVE <br />I METER No. <br />METER BOX <br />%COPPE�/-• GALV. -- STEEL /� <br />--- -- 1 <br />OT _ � <br />PLASTIC •• C I I <br />CONCRETE <br />DATEiNSTALLED: <br />CODE � <br />� <br />I REMARKS: <br />�— —_— <br />—� . _ I _ -.___ <br />TYPE: � `f <br />SMALL LARGE <br />o.T <br />(}X ON <br />� _ �(_ � � �� OFF SUB TGTAL <br />L�OORAND EOUIPMEN(RCNTAL I MOUR. RAT[ <br />`-.� I � . <br />� QN _ <br />- _-" . _ _ . ___"_ __". _-_ - --'_ _ __. _ - <br />p�� c F �� 1_� — <br />-- �� � <br />�� i / �—y-- -- — <br />�_ �'� __�L372 I�-- -- <br />------ - — --- --- --- <br />- ----- —� -- - -- <br />TOTAI <br />