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�L���� . ..—_.. I <br /> APP� C;TY OF EVERETT SERVICE <br /> .�p ORDER NO. � . �- <br /> � APPLICATION FOR WATER SERVICE > �� <br /> DATE S_`-7 _19-f-= <br /> � FIXPD a <br /> � OEPOSIT s a�j� / � No�__ <br /> �- �/•/ (✓O �L �/� �+�' <br /> SERVICE (oY wooR[98 -Z ' - - BLK.l�--��LOT_T�ADDr�t�' <br /> OWNER. L� ��2"5�' --CONTRACTOR1J�i9^-4� --- <br /> '��/ L � <br /> INSTALL�/� ETERED SERVICE_--- <br /> I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE WITH THE .- <br /> ORDINANLES AND POLICIES OF THE WATER DEPARiMENT NOW EXISTING -� r���f ._��=1� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. slcHeo: X . �f�-��-�?-` `�"� <br /> nUTERinLS �' �N• � ��• I 2 �N' I � PRICE AMOUNT <br /> I II <br /> PIPE �COPPER 1. GALV_- S7EEL _ �. I <br /> —!_—_-.—'_ <br /> CORPORATION _ ' I _I I-�— . <br /> �CURB COGK` OT 1 I �_ — <br /> SERVICE dOX \ PLASTICj -- G 1 I I --� <br /> METER VALVE ___ _.- — - -- <br /> METER No. TYPE: ______ I_ `� -- __ _ __ <br /> METER BOX CONCRETE SMALL LARGE __ __ <br /> f �� 3I-(= :;.� v a' c.c ;, , �—=--I —�-- <br /> � �Aj � � I I <br /> � •�•- "�' F --i _ <br /> �! . , _ � - � 4 !,n ,�,�j, _ 7� e _—�-- -- <br /> ! �--- — <br /> � � � � I <br /> � ON <br /> �ATE L'STALLED: 7-- � %- ,� 4-� � OFF SUB TOTAL. <br /> COOE I LAOOfl AND EQUIPMENfRENTAL I HOl1R5 RATE <br /> � — ----• , —_�� _ <br /> ----- _ ' k <br /> _ ��� , � <br /> i ;� . . . ..-� - <br /> —�_ �_ �! � i---.i.—�-�— --- <br /> —; — _ /__�,=�o��Q�;j_ 3 r,,�- I.� <br /> i --- --------�� _' i=;-� <br /> -i ---- <br /> � <br /> -� ---------- --- ---- � <br /> -- TOTAL <br /> REMARKS: _---Li.�L=iJ— _.-_ _-_________-_ _ __. ._— -__'—__ <br />