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APP�/��T� � � CITY OF EVERETT ORDERE NO. '•�� L� (1 <br /> No. / � ll� j . . <br /> APPLICATION FOR WATER SEHVICE <br /> �-FIXED DATE �� J.��-18��� <br /> Q /� C_ ' <br /> � DEPOSIT s C�7`�'� N O_ - - <br /> Lf-� �I�1 � ��/1:�L,L..✓ <br /> SERVIGE ter �oonesel� ��� `�����C�,�� =�-�'=BLK.___—LOT__. ADD. �-�-�— <br /> OWNE�«iI'�"71i�(l ��.�f'_��1-7� �G�I�A6ONTRAGTOf2'_-__ � <br /> :'7 �` F � <br /> INSTALL._L ETERED SERVICE - ----� '� (' <br /> 1 HEREBY APPLY FOR T4E USE OF WATER IN ACCORDAhCE WI7H THE �� � I <br /> OPDINANCES AND POLICIES OF 1'HE WATER DEPARTMENT NOH' EXISTING � �/�^/�/I/� <br /> PR AS SAME MAY BE HEREAfTER CHAYGE�. 6i�NeD: X �._ - - - . � �'-y" -- - <br /> MATER11L5 �i1N.� 11N. I21N. � PRICE ANOUNT <br /> PIPE ��/�/{y j/E.r___ COPPER-- GALV.._ STEEL __� I I.2�_-_ _ '_I__ � <br /> CORPORATION_ _________ _I �___li_ _I � i . ___ <br /> CURB COGK OT I I I _ _� <br /> -__--y __�... 'I_ <br /> SERVICE BOX PLASTIC •• G � I _. <br /> METER VALVE �'�����������___ I!f _�_�_ <br /> METE�_No. G`5% -r- _- _- TVFE:��n�G�- I-�� - 1 -I- <br /> �_ __ '" f --� � <br /> METER BOX j CONCRET `��fTiC SMALL ARGE ' <br /> � ��-- �--L--�-��- -�- - -- --- <br /> � A �y� -q•v2 �� � shnn.:,_ I + � <br /> .l�r.l_':" H'.7)<•��'h r_- --- -- — — —�— <br /> ,y��ChiovAA�� . ._. .- I � � <br /> ... .ASi N�rtL_---�— — <br /> _� <br /> ----�,����„�._��:-a�� ��- — --'a---- � -- — <br /> �:,�n�r/li FCAN�� �I � �I -- — <br /> ------ -- — — --I�—� i� -- <br /> BDE, f�,%', C.c!-P �l�/X, ---SrrtC- h'� I � I � I <br /> � ON <br /> DATE INSTALLED: �// J� I � OFF — SUB T07l.� <br /> COOE I LAAOR AND EOUIf`MENf H[NTAI � HOUHS RATE <br /> � �// � �� <br /> �I ___ — —!�• .��1/_�.—_—._ _— — <br /> — IjQ � <br /> -- — --� ------�-�77`. L1Y-l��n�V� I !D --- --� <br /> _I ----f'�-<�-l-f--- --- — — -- <br /> � � —� `9— --- <br /> - ����� ��`f� ���'- <br /> _ �� ;_ �s' � — <br /> —� - -- ---- -- — �('— �I-- -- — — - <br /> ----�--- — <br /> — TOTAL <br /> REMAfiKS: - iL' i�,_.�l __ —- ___ _ ' _ �_ �.._- 1 1 . <br /> i i.� . %. - i ._ lr "_.`L�_.�1.JJ'-----'- <br /> �'• „r � �. �- . �:� :- - . .. . � - <br />