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, " APPL. �S�`j � CITY OF EVERETT $ERVICE q ' (� <br /> < No. .� ORDER �VO. `{ ��� 1� <br /> APPLiCAT10N FOR WATER SERVICE / <br /> � FIXED o0 <br /> OATE—J���-10� � <br /> � DEPOSIT s�D �J O w.O. �'+ <br /> No._ —'_ � <br /> SERVICE uv nwooe[������ � ' _GU' BLK._ LOT ADD. •• <br /> OWNER—�(�r .(,�Pr- � _ CO TRACTOR. — _ <br /> ..�c/1 // FL <br /> IN3TALL� R!O'8ER ICE _ _-- __ y ,.�h <br /> I HEXEBY APPLY FOR TNE USE OF WATEN IN ACCORDANCE WIiN THE — �.,,i � <br /> ORDINANCES ANO POLICIES OF THE W�TER DEPARTMENT NOW EXISTING �K�-�_ y <br /> OR �S S�ME M�Y BE HEREAFTER CHANGEO. eicr+co: <br /> MATERI�L6 j4 IN. 1 IN. � 3 IN. I�L� �'p��E AMOUNT � R(R(�� <br /> PIPE Q,C IL COPPER•- GALV.••STEEL I__ H � <br /> CORPORATION �5� L I � � <br /> CURB COCK OT I <br /> 6ERVICE BOX PLABTIC -_C 1 _ _ , I _ � Z <br /> M[TER VALVE H � <br /> ' __— .. _._ __ ___— _ _ _— _ —'_— — <br /> _ —_ �y �n <br /> METER No. YPE� I �S — K � <br /> —.— � - __ . _. .___ —I ___ _ --___ _._ _ O <br /> METER BO% CONCRETE LARGE <br /> ��- r 5 0 7 3 --- -- - -I - � N <br /> 2�o r s c�lcf^�_�_Yr��'�y� —=1_ —� _ _ � � <br /> - --- ��—� - ---- --- . <br /> I I I � i � <br /> ON � <br /> DATE INBTALLED: � � ? � J? I � pFF SUB TOTAL <br /> •� V <br /> CODE I L�BOR ANO EOUIPMEN�fpENTAL NOUR! qATE � <br /> I '-_-_- �r � I N <br /> _� _---�. /G'100��I� �� -- — � <br /> � � 2 f/ _I�//_ m <br /> — �=9�����3 --� .�so I�-" — — <br /> - ------ - -- ----- - ��s�i-� "-` - <br /> I' -- -- -- <br /> _ - -- - ----� - <br /> �, <br /> TOTAL <br /> REMARKS: � Q '('> .� ��./ "'� - �� ' <br /> �1 E'�/bn � 1 i� �_ �L4 *-_.+Lrr '��fic-�,_s�—�'__.�7_�=�+t i c.' .� <br /> `%i S t'yJJ,2c.= S%r�.�J✓tC�_ <br />