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SERVICE <br /> APAL.� CITY OF EVERETT ORDER 544 � <br /> ~o. ��� qppLICATION FOR WF�T[R SERVIC[ No p.7 <br /> �7 (.f. ) DATE-_-�N/'LQ--�--1BD-/- <br /> � FIXED ��`l/ W. O. <br /> L ✓ No.—.___.- .___. <br /> � L•EPOSIT s �Q9 <br /> ! �1 Kc.+�I wor�� <br /> 9ERVICE ��r�oonn�i--��O`—�I��Cr�S�-'-`-Q--BLK.__—LOT_IO-. -ADD.II/1_I�� <br /> __CONTRACTOR_ �a�'e= <br /> OWNER_ �LL ���-IY_LYJ.LS-_____-_..._— - ----- <br /> INSTALL_�-�-- LAT D SERVICE--- - ' -- �------ <br /> _---- <br /> 1 KEREBY APPLY FOR THE USE OF WATER IN ACCORD�NCE WIiH TNE /� ��� <br /> ORDINANCES AND POLICIES OF THE WATEN DEP�RTMENT NOW E%ISTING /��/ ... - - - <br /> ew�+eo: X -- -��vc. <br /> OR AS SAME N�Y BE HEPEAFTER CHANGED. ppicE AMJUNT <br /> MATERl�l6 � w IH. 1 IN. � 2 IN� � � <br /> PIPE D�/i3/C�- _ .�'___�I.. _ _ _ <br /> i <br /> CORPORATION ___ __ --J�------I—�— --' — — <br /> � I _�CURB COCK � _ - � I <br /> SERVICE BOX ASTIC -� _ — -- <br /> — -- . _ _. _ . ' _' — '_ <br /> ME7ER VALVE _. .- - -----�-- -'— <br /> METER No. __'_ � . 7YPE__ _ -.._. . I .. _I_ ___ I . __ —_ —_ <br /> METER BO% CONCRETE _ _ SMALL LARGE �'__I __I I - <br /> ii[���� Q(Y`��_If��-�'-U�_ <br /> __ <br /> _ <br /> '— <br /> ��_ A` ,' .-_ . _._ . ___— - -_ -I � __ _—_ <br /> � f1L.l /!\ —�— -- <br /> bd_J�/ �.— I <br /> ��/�C//�—__- _._. . _- _ _. - ._ I I ___ __ <br /> -- - ---i—��---'i—.__- - - — <br /> ^ �7 I �OFF � . Sl1B TOTAL <br /> OATE INSTALLED:/J ��Q'-g/ <br /> v o HOURS PATE <br /> COOE I LAOOR AND EOUIPMENf RENi�� I ' - <br /> I �_._---_ -_'_._ _ -. " ._ -I- .-_ <br /> i — - _ --�- _�a^- - —3 - -- — - -- <br /> _I _D_v�_�' ll /G/_ --_ ��/l9' } — — _ - - <br /> — ��c�5_- ' d' - — <br /> ' - -- - � <br /> - --- ___ <br /> - -' sr�6� - 3- - - — - <br /> � _ ___ _ _ _ — ---- - <br /> i ------ — — --- ----�� - — — .- — _ <br /> I 70TAL <br /> -_ '—_-.- <br /> REMARKS: _ . - - .. -' --� <br /> - ___ _ _ .-___ . ._ - _ <br /> _�--�� <br />