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APPL� ,r�-/��..,/ APPLICA�(ION FOR SERVICE SERVICE �� 2419 <br />No. � 1lL lV J ORDER <br />GTY OF EVERETT WATER DEPT. Z/` � _��� � <br />DATE_- L6 <br />�FIXED r <br />C/C� W. O. <br />� DEPOBIT 5 �J� UO'_'__ NO.—_'_ ___. - __. -__ _ _ <br />2C�� `j V�I�LA[N+ /I Z .L0Ti3�`¢ADD.�� "�lC��iCJ.l.11� <br />SERVICE (er AooREss1_---------5- ----BLK''1��. <br />� OWNER� �IA_L� �,-C.�ES'�P-t�-JC1A:__ -- —CONTRACTOR'—_—' - ' --'___. -- -_ ___ <br />I �'°3 � - - _ - -- <br />INSTAL� 3�METERED SERVICE--- _� <br />I I HEREBY APPLY FOR THE USE OF WATER Y ACCOFDANCE W�TH THE � � � <br />I ORO'� VCES AND POLICIES OF THE WATER LEPANTMENT NOW EXISTING SIGrvEo:X _ �� v'`-- ���-J���"� � <br />Ofl �5 S�ME MAY BE HEREAFiER CHANG�D. �l��---�- ��-�� <br />MATEPIALS ��/i IN. I 1 IN.. 2 IN. i I PR�CC � AMOUNT <br />� p�pE .`COL'Rl GALV. -- STEEL � ' �I___ ,I__I -_-� - <br />� _-- _'_ <br />I CORPORATION _ _ _. � <br />�CURB COCK OT i <br />LASTIC C I � <br />I SERVICE BOX �_ - <br />� METER VALVE ._._. - <br />� METER No. -- � � �� TVPE: _ I 'S <br />� METER BOX CONCRETE __ SMALL LARGE _ <br />, _y X //,s -l2_Un jf1P��i=ii<ic•�_ I <br />r <br />' I rl> ON <br />c <br />I DATE INSTALLED: �� J'] � OFF <br />� � i / <br />LABOR ANO EQUIPM[NtRENTAL <br />COOE � <br />SUB TOTAL <br />HOURS� HATE <br />_ _ � Ll ,� —__�—J — _— <br />--- -- - --f - - �/O��I .5'-- -- <br />— _ _ �- o � �-�---� � // �_ s�._ .- <br />- - - -- �� L �' �I�Z- - <br />_ __ _- ---- -i -- - <br />� <br />-- - � -- - <br />TOTAL <br />I REMARKS: - �� � � ---- � <br />1— -. ____. . - __ _ - '.__ <br />- _ <br />_- ____ . _ _ ._. - <br />