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APPL•�D��� APPLICATION FOR SERViCE SERVICE {V° � � 53 <br /> No. ' • ORDER <br /> ,2� .��%`�� CITY OF �eVERETT WATER I�EPT. �//)� i � <br /> � FIXED � DATE!� ���� / <br /> �� � 18�. <br /> � nePosir s cv�� ' � � � w.o. <br /> ,� . �--,2� , <br /> /j/j /��/.. <br /> SERVICEfBYA�ORE88)_s�( in //��- i("'} 1"�-(''�1�✓ �` /D� '� �I <br /> _ DLIA�—_LOT,�G'.--ADD.__.���'� __ <br /> ,r�-�'£- '-� �-�-� <br /> OWNE / / CONTRAGTO � <br /> �J FLAT !� <br /> INSTAL�I�lLR�SERVICE <br /> � I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE � <br /> ONDINANCES ANO POLICIES OF THE WATER DEPARTMENT NOW E%ISTING G �V��,y�� <br /> OR AS SAME MAY BE HEREAFTER CKANGED, sicNeo: X�l _ / _ __ <br /> b:ATEPIALS �+ IN.I � �N• I 2� L PR/IC� E qMOUNT <br /> PIP' COPPER-- GALV.-- STEEL � _ I I_ .�J7 o�lO I <br /> CORPOR4TION I I <br /> _ � <br /> CURB COCK _ OT I I ( <br /> SERVICE BOX PLASTIC -- C 1 _ � _I _i II �/I��_ <br /> J L_� <br /> METER VALVE —___— _ _— — -- � I <br /> 1 <br /> METER No. — TYPE: I �f i— <br /> METER 30X CONCRETE SM.4LL LARGE <br /> C� -�-- — �-- – — ��l�n <br /> ----/ �' _- -� - � _ ��-19�. <br /> - �- �- --- �-- <br /> -� <br /> I � ON <br /> -� � - � <br /> DATE INSTALLED: I � y �� ; �T ��FF '� r _ SUB TOTAL L, � <br /> GOOE � L�BOR ANOlpU1�MENTRENTAL NOURS pATE <br /> ��� <br /> i�� �lYl._ _— _ 1_ " � <br /> i "-� l�^ �.` �"' _ ��_ �� <br /> --I y I <br /> � -- —� —�---- '— !� � <br /> � - �-- li � -- <br /> -- --- � � � <br /> '--- - - � J <br /> I I �I` I <br /> ( � TOTAL I� �.3 <br /> FEMARKS: /�� � � <br /> _ � ^ r �� �r r�: ,��,`l— �� c'�.<= ,,:� !u .,.�i-- — ( r � - <br /> –T�_,_�_._���— ' `�--�!J�r � � •✓ C�,-�_� ----- ----- . � -- <br />