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A�PL. (..�i/��V � <br />No. 7 <br />�;l s�/ <br />�FIXED <br />DEFOSIT �, � � i �� V <br />❑ �-___-_ <br />SERVICE(BYAyDaE68) �� <br />% <br />APPLICAT'ION EOR SERVICE <br />CITY OF EVERETY WATER DEPT. <br />/ 3J- <br />SERVICE �� 9 / [7 <br />ORDER <br />� �q <br />DATE`�i��d_'%� / /i 1B-J <br />\N. O. <br />No. _ <br />V <br />�_AD0.- <br />OWNER ��� _ ''�"�'-�� -__CCNTRACTOR <br />��/l� � FLAT <br />INSTALL-L'_� .E{FFEfTEs-9�:fN'fCE-- — ------ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE \VITH THE � �� <br />ORDINANCES AND POLICIfiS OF THE WATER OEPARiMENT NOW E%ISTING <br />OR AS S�ME MAY UE KEAEAFTEF CHANGED. 91cnEo: �-�z�-S� --- —�- <br />M1IATFIiInLS � 4i IN. I 1 IN. I 2 IN.� �_I PRICE �L �1MOt1NT <br />PIPE —( <br />'c <br />CORPORATION <br />UC R9 CO _O�7 <br />C <br />SERVICE BOX PLA! <br />METER VALVE `- <br />METER No. <br />METER BOX CONCRET� <br />GALV. -- STEEL <br />-- C 1 <br />TYPE: � :5 <br />SMALL LARGE <br />,. � i��0 <br />� ON <br />/ SUB TOTAL <br />DATE INSTALLED: S_ � ,, � y ❑lOFF .,'%"��� _ <br />COOE � LADOR AN� LOUIf-�.1ENT RENTi.L I HOUhS I RATE <br />�, Li2a.z.��----- - -- ----------� 5 - _1. � <br />� — --- <br />J� <br />, <br />� , . .-- -- — I ,h– -�.-11 �,s � � , �� <br />✓ <br />i ,D z . — <br />--� - -- - — ---- <br />�% / <br />REMARKS: <br />_ �!"/C�/-___'_---_-. <br />__ _ _ _ - _. _- <br />3' ,; � :,- - - <br />— i li ! <br />I ',�oII �,__,� <br />I � _ � _ I'� ._ �. <br />TOTAL 'I �� / V / _ <br />.._ .."_._-.. _.__'_�--'_' <br />_. _ ___ '_ '. _._ _ . <br />/ �.. <br />. . . . _ . _ . __f- - -_"�- , . .__ <br />