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APPL' p�,'3 y�,� CITY OF EVERETT SERVICE � <br />No. ORDER NO. �� ' '' <br />APPLICATION FOR 61'ATER SERVICE �� � �y v� <br />� FIXED O DA7E/�/[�J ��7_.-19�^-' <br />� DEPOSI7 � �/ W. O. / .__ ___ <br />3/3 0 ��j' _ , � BLK.! �� LOT/J�PADD.[C?^-'CL�� <br />: o_ No.—_ <br />SERVICE t/eJr nooncs/e� �/ - /jQ � //�/ �% <br />OWNERlI'�!'L�7TV�LG ✓_'�-� `=- -- ---CONTRAGTOR�..fd_��L--`� =-' a-`-p <br />// FLAS � <br />INSTAL��METERED SERVIC-'E'a_-.- _ . _ - --- - -- --- <br />1 HEflEBY APPLY FOH THE USE OF WATEP IN ACCORDA4CE WITH TME �1 �/;��� _ <br />GFDINANCES .�ND POLICIES OF THE WATER DEPAFTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. 9iGrvEo: %- - �--- - <br />MMERIALS �/ IN. 1 IN. �J � ' I ' 1'RICE �� AlIOUNT <br />PIPE I� C iL __ _ COPPER -. GALV. - S7EEL _. _ _ � ��_I_ _I_____i_ __��� <br />—� <br />CORPORATION N��JD�J _ _ <br />CURB COCK OT ___ <br />SERVICE BOX PLASTIC •- C I <br />METER VAWE Kv_�- � _ <br />METER No. �j�l�]�f_.-SPI6�S'�1L TYPE: B�� �Y I_�f_ <br />METER BOX CONCRE7E _ �y51IC, S�ARGE <br />Ntso�3 _�-�� -- <br />-�f- r o� C�.�, r w i r-C <br />L- �' -1�'�_ <br />�iOC� I�,s C�.I�� ���Y -�v�rr <br />DATE INSTALLED: <br />CODE � <br />A <br />EMARKS: <br />� ON <br />5� L/ _ U 3 fj OFF <br />�� <br />LABOR ANDEOUIPMEN�flENTAL <br />�I <br />— I _ . <br />—L�_ ��_ _- -_- <br />—�--' - - <br />� <br />SUB TOTAL <br />I MOUft9 I R�TE <br />. Tea[, I /�ll��i <br />__ /I <br />�1�'Q �'M I �— _. <br />----- 1-�M�IC'S�Z(l! i 1 '' __-- - <br />�`�1O / __�-�— �.M'�� _ �j . _ __ <br />� � �# oZl!y <br />--- ---- ZZo � , ,, — — — <br />TOTAL <br />— --_ _ __— -- _ . ..� <br />�. <br />ti� <br />�. <br />� C <br />CC7 t <br />r <br />�F <br />�; <br />['J <br />rJ F <br />Cf <br />� : <br />� � <br />a <br />=� : <br />� <br />� <br />