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1 <br /> � APPL� �,n��� APPLICATION FOR SERVICE SERVICE N� 1731 <br /> I No. 7 J CIRDER <br /> � GITY OF EVERETT WATER DEPT. � _� � <br /> bATE—`__— _—'19 <br /> i �r xEo <br /> , � DEPOSIT s �O"�_ N � ��LLGy <br /> I ��/_Y--L_LrULE�.Ii�1LL�J�1�'LUOBLK.� LOT t'L ADD.�Y{��-l-J---- <br /> I SERVICE (BV ADOHEP6) C , <br /> �,� c�fy�.�_..�,____--CON7RACTOR �('��� (} <br /> ' OWNER ��"33 RK.S�J� J�• <br /> 3/ct�� FLAT �_.AI�.V�.0 ll.��ir��_�c�A �$O�'Jy- ��oL3S�� <br /> I INSTALL.�_� [—�� SERVICE-- -- <br /> � 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANLE WITH THE �! ' � �� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING eicneo: xl--�����- — <br /> I OR AS SAME MAY BE HEREAFTER CHANGED. <br /> MRTERIALS I �' IN. 1 IN. � 2 IN. ', PHICE ' wMOUNT <br /> /GOPPE�i, GALV.•-STEEL � I <br /> �PIPE _ ( _--�_— J=- I -- <br /> � CORPORATION — —�� -- <br /> GURB� T ' I I I . <br /> LSERVICE BOR PLASTIC -- C � I — <br /> I METER VAWE ____ — <br /> METE�_____.___ TYPE: I '^ -- ——__ ___ _—_ _ <br /> I __---_____. _ _ _._-___— <br /> � _ <br /> I METER BOX CONCRETE SMALL LARGE _ _ _ ____ - -- <br /> � C."� � �- � I — <br /> --- � � �_ — — — <br /> :,- � , �'.l � � �r' r�_�,(�/ --� <br /> �_ � ,,, , I I -- <br /> i = � -� � ,� - —_---- — —I �-1— -- � <br /> I <br /> ,- -- - - ----� -i i--�I <br /> I � �N �/ ��� — Sl1B TOTAL <br /> I DATE INSTALLE�: �"I/'l�, • • � I �iiFF- I` `� } � ; � !� <br /> � NOURS RATE <br /> CODE I � L�90R AND EOUIPMENf RENTAL I <br /> �I�1_,_,-'.� �f —.--..___-__- _ -_—�—�II-�— —-- -- - <br /> I i z I f - ------I L <br /> �-- -- - - <br /> I--�'I _ -� - <br /> �_ --- --- - <br /> I ------ - - <br /> _ - - <br /> �--I - ---- -- -- i <br /> I— i TOTAL <br /> I J - <br /> _ . , , . . ._ ; , . '==- --- <br /> I REMARKS: � ' - ---� �' <br /> ,�_�_(r; --- -- -- -- - , <br /> �------ . <br />