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APP�� 1�8 SS _ APPLICATION FUR SERVIC , sERvice ,N� 4 9 5 <br /> N�� ORDER <br /> J`J�P� CITY/.O� EVERETT N�ATER DEPT. 9 <br /> � FIXED � /'���`JL�IC4 i7 DATE��.LIB� <br /> ��"� —c"'C� <br /> � DEPOSIT f� - W. O. <br /> /'� ' No. <br /> SERVICE (BV AODRESS)_=( // C� L G- BLK. LOT ADD. <br /> {��/y�yNER CONTRAQTOR �J <br /> I`-'�I,�Cfnl .3 [L FLAT ��! — �,> > /=G-.c-� ..«-�"ti�a-uI �-�� <br /> ��L M€FERED SERVIC �c-16uc��� �. <br /> I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE WITH THE � e ^ <br /> ORDINANCES AND POUGES OF THE WATER DEPARTMENT NO\V E%ISTING • 7y �(J <br /> OR AS SAME MAY BE HEREAFTER CHANGED. s�eNeo: X_______ �� <br /> MATF.RIA�_5 �,i IH. 1 IN. I 2 �N• i PFICE nMOl1NT <br /> P�PE COPPER •GALV. -STEEL �� � � � , /_Q 1HGp <br /> _L_ a)i(I p <br /> ,CORPORATION — I I <br /> �CURB COGK _�OT� � � �� <br /> SERVICE BOX �_ PLASTIC •- C I / I I 7 �C <br /> � METER VAWE <br /> �_.;I:TER No. ____ _TYPE: I .� -- --� <br /> METER 60X CONCRETE SMALL LARGE I <br /> �� T % I �IyG' <br /> , :. -. " _I —1_� .<<o �i�o; <br /> � i <br /> -- � � � <br /> I I <br /> p<oN <br /> DATE INSTALLED: � . �• OFF SUB TOTAL � � <br /> l- t_ � -G � ❑ _ , �f-., . h_ <br /> CODE � LABOR ANO EOUIPMENTRENTAL HOlIRS RATE <br /> � ��- .,,,, . 7 �� -,, <br /> — I -- I i�� <br /> ; � <br /> — � �1 — � ' '� � IH�/ <br /> �-- _ J — i <br /> � �I I <br /> - � - � �' j � <br /> � _- � �� <br /> - I ----- -- --- �-- � <br /> _� TOTAL -�j�I79 <br /> REMARKS: --- -- — � <br /> � <br /> _i <br /> 1 <br /> J� <br />