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Noe���/ APPLICATION FOR SERYICE SERVICE N° 2084 <br /> oRoea <br /> CITY OF EVERETT WATER DEPT. ��` � <br /> ,, �FIXED ,(� QC� �ATE ���d--'-1975 <br /> i � D[POSIT s Z(,iLl. � W.O. <br /> No.— <br /> i C' �y-�� fv .�/)1^ �,i pJC7l. �L <br /> � SERVICE (ev wDDRE66�.�5? //�, �I���E-'���-G�_�BLK. LOT 2�L _ADD._��TL�_ <br /> � OWNER ��M�.7'� �"��«�L'�L_���iLJ�S_CONTRACTOR ._ _ <br /> ; / � � FLAT <br /> INSTAL�3/Q� ____ __._.________ <br /> i � <br /> � 1 HEREBY APP�Y FOR THE USE OF WATER IN ACCORDANCE WITH THE • <br /> � ORDINANCES AND POLILIES OF THE WATER �EPARTMENT NOW EXISTING � — ��'� <br /> OR AS SAME M�Y BE HEREAFTER CN�NGED, fiicHeo: X �'"��ti <br /> G.�+.�___.._.._ <br /> , MATERIAL6 n :N. � �N. i � ��� I I PRICE AMOUNT <br /> 1 <br /> PIPE '. COPPER - GALV.•-STEEL i''�� I � <br /> _L�--� _ <br /> �I --CO—RPORATION �, I <br /> � GUR� B CppK OT / j <br /> L uERVICE BOX PLASTIC -• C I I_ <br /> i METER VALVE <br /> �_--- _-- —_ ._-._ _- � — __—_ <br /> IMETER No. __� TYPE: _ _____ _I_'_ _ __ __ -- _'— _'__ ' <br /> ! METER BOX CONCRETE SMALL LARGE I <br /> � .S�'l �1� [% /f ��' O�:J ;;`'��_ --I i I - --{ <br /> i I � � - <br /> ' � �- --- - - <br /> ' � �- !- -- <br /> s/n� f' lt/a_sfe - i� .Y••-r� o-__ - — —I—''— '� ! -- - <br /> �=� _ _. -- - ---- - - --- <br /> I r%-li'� s.�� c d.o�. � I � I i <br /> � I .�'ON <br /> I DATE INSTALLEO: �--.j�- �.� ' � OFF SUB TOTAL <br /> CODE � LADOpANDEOUIPMENlRCNTAL �--H�O�UR� RATG <br /> �—� -:-/,,. . !i. � /P <br /> �---- -- -- .- - — <br /> � � ._r�-�1�',,.'/T�---�� - <br /> j ' �-�-�-��L-- -���-- - <br /> � �— — -���� --� 3 �� ---�� --- -- — <br /> I <br /> � --���_ !/ 3 � � I -� - - - <br /> � � - - __ - � `�G�'' -i� _ <br /> ri . <br /> �— " " <br /> I y TOTAL <br /> I REMARKS: � <br />