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APPL. 2 V W „J � APPLICATION FOR SERVICE SERVICE �° � O�`� <br />No. � - OROER�\ <br />J`.�';;,_- CITY OF �EVERETT WATER DEPT. j � <br />l� <br />��FUtED (/, .C/? DATF�_�.'C/_i'- -. ' 19'�'/— <br />� DEFOSIT ; `-' � W. 0. `/ <br />/ � <br />No. <br />�/../� ir .;r � . „ .4.( .., . � --_.. _._ <br />SERVICE (OY ADONE68).�1. �_.__�_ I _�--� ��Cf QLK. OT /�� O�.y�---� <br />���OWNER_ __— __CONTRACTOR � �''�� _ —" �-{� _ <br />_-(• li lir: / �1�� "rGYtT!/.f - <br />IN6TAI.L � � "a� SERVICE ___ ' <br />I HEFEBY APPLY FOR 7HE USE OF WATER IN ACCOFDANCE WITH THE / / �� <br />ORDINFNCES AN� POLICIES OF THE WAtER DEPAqTMENT NG1V E%ISTING l / � �/ �� i <br />OR AS SAME MAY UE HEREAFTER CIIANGED. — stcrv[�:,y��_•�_��°�_�_ �_. ._ _�,��_ _ <br />MATERIALS `— �.j IN. 1 IN. 2 IN. I fI Pp�C[ AMOUNT <br />P�F'E COPPER -- GALV. -- STEEL I I I �I I i � I <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER Nn. <br />METER BOX <br />OT <br />FLASTIC �- C I <br />___TYPE: ___ I__�p <br />CONCRETE SMALL LARGE <br />OATE INSTALLED: <br />CODC I <br />�—_ � <br />� ON <br />!,�- ' ' C� � � OFF .. , <br />L�BOR ANq [UUIPIdEN: RENTAL <br />` r <br />SUO TOTAL <br />�_�I H�I RATE . <br />� / <br />� i I / <br />i �_ � ( .�Y t'. . ���J._ _ I_.1_ <br />v <br />— � — -- <br />� ---- --- <br />— -- ---- <br />---- --- -- -- <br />_ , <br />i Di_ •�� , Si��t ._-��/.7Zi �� C;.._'�_J�.� i <br />--'_._—�__F '—' <br />j ____—"__ ___ _ .—" — <br />REMARKS: .. '--_, � � ___ <br />r <br />_.'�/_.' �� i i' .��._ � _. _ <br />•?, ., � . , ., r:.rr� -- C o �. <br />� <br />