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APPL SERVICE ' <br /> No. a� -'� I ��-- CITY OF EVERETT pRDER NO. <br /> APPUCATION FOR WATER SERVIC[ �7,..� ��'7� _1e�•S <br /> DATE��- <br /> � FIXEn <br /> (�i W.O. <br /> � DEPOSIT �Q� __ No.-------- <br /> � SERVIC�g/ lyOv7"ADOR[esl__�!//�� —�""�'�—�'`L�� BLK.._J—LOT_ � AD/O�Y��_Ktiv <br /> dlL�C� ' �_�_!�!!!�)'LG2� —CONTRACTOR_---- t�tt! � _ <br /> OWNE 1 y �l�� — ._ _ <br /> INSTAL��/�METE ED SERVICE._.— . . . __ ------- ----- ---- -- ---- <br /> I HEREBY APPLY FOR THE 115E OF WATER IN ACCORDANCE WITH THE �y'/ ///� - � <br /> OPDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING BIGNEO: X //.CL�'��+�' �� - - -- <br /> OR AS SAME MAY BE MEREAFTER CHANGED. <br /> MMERIALS )i IN.I � IN. i 21N. i L✓ PRICE I •MOUNT <br /> �IPE� ;( IG rCOPPER --GALV.--STEEL __ __ _�� I__L____ ___,I — <br /> CORr'ORATION �I7CG�j__ ___ . _____ I �—I�- --� ' <br /> CURB COCK OT _____ _ _�� �I— — <br /> SERVICE BOX PLASTIC •_C I I _ -- <br /> METER VNWE _ _ - --- -- --- <br /> — <br /> METER No. -__ . TYPE: —._-_ I_ '�— __ —II . . _ <br /> ___ —__' _ —__—_ ' . — .. <br /> METER OOX CONI:RETE SMALL LARGE � I _ I __ _ __ _ <br /> k1 I 5 ' 7 3 -- - -----�_I_ -� -L--�-- - <br /> _��o � 1��c�.��zN _w-�_-- Z��--'i �I- — <br /> — —� � — �— — — <br /> -- ----- -----� I', ,— — <br /> • '1 , oN <br /> �ATE INSTALLED: � �l/ � y, S I � OFF SUB TOTAL <br /> v v <br /> CODE I LAOOR AND EOUIPMENIpF.NTAL ""�, � yH'0' 11R5 PATE <br /> I -. _ -__ ."-. .__ ��YI` I__V__� <br /> --� —�'� S 1''C�,t��.,- !_.Yj— — -- <br /> ---I _ --- - -�� 2/// I _�i — -- -- <br /> -- ------ / � 3`�il 5 � _ <br /> —�� -- d�7�f---� �, ' _ - -- <br /> �� ����_�--- <br /> -'I --- -- --- - ------ -- �i— -- - -- _ <br /> � TOTAL <br /> REMARKS: . . .____ . _ '---_—__.. --�- <br />