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�PP�• %��� � APPLICATION FOR SERVICE SERVICE No � 742 <br />N�� OR�ER <br />CITY Of EVERETT WATER DEPT. ,� � <br />� ��XED DATE__ � - JC _18r=j <br />'fo P � <br />� oEroair s� �Lc CL� w. o. <br />No..--._--_-- <br />�� SERVICEt�r�onncss�_ � �� _(/�/4�/V��/G!i __BLK. LOT_.__ADD.__._ <br />� /j //� � <br />� OWNER fN.f�iFLJy_��Q_� �SSO�_CONTRACTOR ___.,_ __ <br />{� <br />I INSTALL�IRi}MM SERVICE--_--_. ___ <br />� I NEREBY APPLY FOR TNE USE OF WA7ER IN ACCORD�NCE WITH THE <br />� ORDIN�NCES AND POLICIES Of TNE W�TER DEPARTMENT NOW EXISTING �- <br />� OR AS SAME MAY BE HEHE�FTER CHANGED, eicr�go:%. ___ __.__ __._._ <br />� M�TEFIALS �4 III.jI �1 IN.'� 2 IN, i PqICE AMOUNT <br />I PIPE OPPE - GALV. - STEEL l� I I�I I I�� <br />I COpPORATION <br />� CURB CO. K <br />�—' <br />� SERVICE BOX <br />I METER VALVE <br />i-- <br />'�. METER No. <br />METER BOX <br />PLASTIC � C I � <br />_ _ TYPE _ __'_I � <br />CONCRE�E SMALL LARGE <br />n <br />� �, r <br />_ � I_ � � <br />� _.__-_'___-'_ -_- ____'_ _—'_ __ <br />I —'i' I-__—I__—. i '_— <br />� � ON � � � <br />DATE INSTALLED: � � ���� '-i' � pFF __ <br />I � � f' � SUB TOTAL <br />C, ��E �� L�BOR �NO EOU�PMEN'fRENTGL � NOURS q�Tg <br />�� I <br />� I ' "__-_�J-- I <br />I'I / �_� _-_ _-_..._. __ .._._._ ._.. _.-__'-._-_.- _-_ -'_- _ - <br />_.. <br />.�_�-. .__ _ ___ _ <br />.�.�� .. ___. "_ � <br />iI_ _. . ____ ____ <br />Qp - _ . _ . _ ._ .__ _ <br />'_--,!/l�'�af.f�.__�O_1r:27___—_— '______'__._'_—'I- _ .'_'____.___- ___- <br />- �----- �� / _ - - - - - --' - - --- <br />Torn� i � <br />REMARKS:� --_�/�Q'J i,r '1/I �ti. _: � . -_.. / �. + , l . .. <br />'�_J �_ l / /iY'S_'-'.- -", - - 1 .. �' '-_1. _ <br />� r. �, .. � ) '1 " .. r� � .. . � .. . � -- <br />