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������� 1 q96S� A?PLICATI7N FOR SERVICE SERV'CE N� ] 3 3 <br /> No. OROE <br /> CITY QF EVERETT WATER DEPT. �J �� � <br /> � �J`)G� o,�r ���` �i� <br /> � FIXED <br /> �1 W.O. <br /> (T DEPO5IT 5 ��J�� Na. <br /> �� /( � <br /> Qqs� � y � <br /> ;�`:SERVICE�(�YA�Ree6 �/"C��/J —� •����/�2�,(•2� ��A_f_ __BLI<. ��T__LJ1D� ��14'1'Yi <br /> LL� �--j--i ,� ��('�a.�� _k'— .�/6 ' <br /> C".YNE�• 4. , . '���•��`f� 1�:I. CONTRACTOR�". . �1e � �^�C <br /> -���--_ �. ,..� zr . <br /> INSTAL ���METERED SERVICE - - — � �� — <br /> i HEREBY APPLY FOR THE USE OF 1VATER IN ACCORDANCE WI7H 7HE � �� �� �-' , <br /> ORDINANCES AND POLICIES OF THE WATER UEP,:RTMENT NOW EXISTING � A�/ � ,'L_. � �-..1__ <br /> Ofl AS SAME MAY BE HEflEAFTER CHANGED. sl�Neo: JC�- � -- - - <br /> MATERIAI.S I ��/��• � �N' I Z �N' I ( PA�C= AMOUNT <br /> PIPE _J COPP .'""STEEL �I I _�� <br /> CORPORATION �I' �-� � <br /> CURB COCK OT I __ __JI I <br /> SERVIGE BOX PLASTIC -- C I I _I_ I <br /> METER VAWE —I— � /� <br /> METER No. .?_L��v-1Z�S11.�._.9 'TYPE� �f I I�_��� � _ .�J.J � <br /> G:Sc� �—� I—'_ u ���(� . <br /> METER BOX CONCRETE SMA� LARGE � � �� �(.._I�-� °� <br /> _ --I �- ---� � <br /> - � - - I�--�i- <br /> - � _ - -�� <br /> - -�����- � �- - - <br /> I � ON <br /> DATE INSTALLtD:� � � SUB TOTAL Lrs� Q�_ <br /> .. /il - •; ��:UFF �__ , <br /> -y� I HOURS AATE <br /> .. <br /> COOE � � LADOR ANO EOUIPMENi PENTIL � � <br /> �' :��- — -- — ---�_.�_ Q �'� � �C' ^, <br /> . , � ---' — - �--- <br /> i ,C/ ���� ----- — �_� �.-G� �� ��,P <br /> � � I <br /> --- � _� 1 <br /> _�_ — � ---�'il�---�— <br /> -' .', � � � .,� <br /> , , <br /> I ; - ---- '=-- —=- I <br /> - ------— - - - -— - I �i�,��7ql_,_q <br /> — ���� TOTAL �� / / ��/ <br /> REMARKS: . .----- <br /> __-__ <br /> _ <br />