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APPL. /9389 APPLICATION FOR SERV;CE SERVICE j1�� ;, -. <br />No. ORDER <br />I`] �� `" =� CITY OI� EVERETT WATER DEPT. /{ I ' ' (/ <br />•[�1 FlXED ,^ � ) DATE_L'L�LL1�__18-L <br />/+1 <br />� OEPOSIT g �� - No�___ <br />SERVICE (BY �DDRE6s1!' (� �. _�=� � ,L � ._ ___—__. �LIC._ LOT�ADD. _ <br />� - <br />OWNER �'-��-,-I.�J__�.-��_A'.��—�=,—___'--___CONTHACTOR <br />� FLAT <br />INSTALL—��y�—NLIF,AEOSF_RV!CE-.__-__----__ ----'-------- <br />I HEREBY APPLY FOR TNE USE OF WATER IN ACCOR7ANCE WITH THE I'� - i <br />ORDINANCES AND POLICIES OF THE WATER DEPAPTMENT NOW EXISTING r,l / <br />OR AS SAME MAY BE HEfiHAFTER CHANG[D. sicN[u:X�l��L�����_' �r�� �1.:i=L_"=—_. <br />M4TEIilALS �/ IN. 1 IN.I II IN. I � PRICE AMOUNT <br />PIPE ( COPPER.•- GALV. -• STEEL � ��_� ��_I_ �J� I � IIZ/�G <br />CORPORATION I i I I,I ?Y�J <br />CURB COCK O� � I _J � J <br />SERVICE BOX _ PLASTIC� •- C I I I _J��_ �i <br />METER VAWE __ <br />METER No. TVPE: —� �-- I Sf �---- — <br />METER BOX CONCRETE SMALL LARGE � I <br />� �'.�. w /_ y(7 � � � — — �� �i I7 /� <br />L I1 <br />� ON <br />UATE INSTALLED: %�` , .� ��-OFF " <br />CODE I /LAB�R ANO EqU1PMCNT RLNTAL <br />�--�i-�-�_L- - -- ------ - <br />--I �lii,..,.tj --- --- <br />--- ,- <br />� " --- <br />_ I�) `� - - <br />-- i - ----- <br />� . .., . . . ,�r.� �.n ��� •c� � - �� � <br />REMARItS: I� r� L � i � n. 9 -�_� � _�� (� � <br />-- J-'----ILL— -t _ `__-. <br />, i. <br />i -� <br />il,.,�f__ ... .--�. ._..----- <br />SUB TOTAL /� <br />HJURS fiATE <br />ir� <br />-- i�,l- ,� <br />TOT/.L <br />IG� <br />i <br />Irr <br />