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- 2os.� 9 <br /> wrr�._ � APPLICATION fOR SEBVICE BERVICEN� i5�r <br /> No. ��J� _5 �J ORDER <br /> � CITY Of EVERETT WATER DEPT. <br /> IXEI:f DATE��-19�� <br /> �7 v <br /> � UEP081T s�ly� W. O. <br /> / / L 1�l� — <br /> SERVICE (\YADDIIEt�,�'� L /������� v ��``� � BLK. LOT ADD. —_ � <br /> OWNER__L1—��L"� _GONTRACTOR ����t �-� <br /> � �/ FI.AT <br /> INSULI_�_Ap�RiO�BEIVIC� —__ <br /> I HEREBY APPLY FOR THE I15[ <:F WATER IN ACCORUANCE WITH iHE J <br /> ORDINANCES AND POUCIES OF THE WATER D[PARTMENT NOW EXISTING `P (� —�Jc,7,2�_ <br /> GR AS SAME MAY BE HEREAFTER CHANGED, e�aNco: X.. rLi'Y2C � Z � /�� <br /> NAT[11UU �i IN. 1 IN. � i IN. � PRIC. AMOUNT <br /> PIPE COF'PER-GALV.- STEEL _L�_ _ <br /> CORPORATION I <br /> GURB COCK OT I <br /> SERVICE �OX PLAS7lC - C I� ) I 8�] <br /> —J-. <br /> MHTER VALVE <br /> M[TER No. TYPE: � <br /> M[TER BO% CONCRETE 9MALL LARGE <br /> '_-._ _--_ __ I __ _ _ _ _ <br /> _ _ _ — '—I _ _ _ '_ — <br /> - �— —I __— <br /> I I I --_ — <br /> ON i <br /> DATE INSTALLED: ��-�'7�J ��ppp I,,\ � � _i SUB TOTAL .J-� <br /> r <br /> COOE I LADOq ANO WUIPMENT RENT�L I HOUR9 qATE <br /> I <br /> — - - - - L �i�or I ---- y 2G <br /> -- -- � ; -- �-- - - - ------ <br /> — —;--- -- — I ---- -- <br /> --� — —�,i: ;; ;a; � —�-- – -- — <br /> ----- __ ---- ---- " -- – — -- – <br /> ---- --- -- ----- _- ------- — ---�-- - - --- -- -- <br /> �.� � I TOTAL �,S J� <br /> __µ"' <br /> REMARKS: - / �' ,� . . . -- �� � ' - ' ' <br /> ,�� • . . . �_�_ - .. �.� , __ .__ —_ —.� <br /> --- - ----� J �� � =-- -- ` ----- <br /> / �"' � _ -- , ---- -- <br />