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N�P �" `� � `" � � � CITV OF EVERETT SERVICE •� - I <br /> APPLICATION FOR WATER SERVICE �RDER �IO. . - � � <br /> FIXED � <br /> ❑ �V DAT �� .y�-19� <br /> � DEPOSIT ,f p'�n � W. <br /> (/ O. <br /> No._____ <br /> SERVIGE lsrwoopEU) ('� �/ ��� �/�"/1/-q,�✓ "� / Y �/ / <br /> /) c-�--- �_BLK._�LOTI�dBQ,�'� iT-�� <br /> �WNER_�cC-���1 A��-�,i�� J CONTRACTOR � / <br /> �/ FLA� <br /> INSTAL� ETEREO SE$YILi_______ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOfiDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING �i/ <br /> OR AS SAME MAY BE HEREAFTER CHANGED. eicHco: X W��_ -� � �"L4 <br /> MATERIALS �'iIN.I I �M• I � �N• I � IGE AMOUNT <br /> P� ` � '4' COPPER •- GALV.•- STEEL ; �� <br /> CORPORATION � <br /> CURB COCK OT I I� <br /> SERVICE BOX PLASTIC - C 1 I �I— <br /> �j —�--J <br /> METER VALVE I�V� N�-�T� I ' <br /> METER No. �_3 �-� � ypE.ILS.�.r7„M�._I � - —_— __ -- ___ — <br /> ���i-"-'"f <br /> METER BOX �"�, NCRETE ,_ __ SMALL ARGE_ � <br /> �.7-� __w�--- --I � --- <br /> � ��,,,�� _ ._- - � <br /> _ � i G>o c�?� �_f� , �� � --j — <br /> �y s �n l- -�� <br /> _ .:yCy.,c,.,.-a. �!t+,.`T,%r �t-.�� -1<<`�c.y�'��� � y'/OSr�—.� � � <br /> ":���9�@.�.i r� �7�„$.�G _.__ I_�'7�. �-- <br /> � <br /> � ON <br /> DATE INSTALLED:'7/.�3/ 7 G� � OFF SUB TOTAL <br /> .7 ! <br /> CODE I LABOR ANDEOUIPMENfRENTAL XOURS pATE <br /> � - � /�*, � <br /> —i -_------ —�_�c�X-1�_. <br /> i � -<<-�-6- -- <br /> -� ������ s--- i � - - - <br /> - -- - -------- -- � <br /> --�- _�___- - <br /> � ---- - <br /> TOTAL <br /> REMARKS: <br /> �. <br /> .�. <br />