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! APPL��D� � APPLICATION FOR SERVICE SERVICE Na 1774 <br /> i No. Z�Q�Z� ORDER � <br /> ' CITY OF EVERETT WATER DEPT. <br /> � � FIXED DATE�_�_�g7_� <br /> '� � DEPOSIT�.� � �Q Q W � <br /> No.___ -____— <br /> � SERVICE (BYAODIiE56)- ��_L�— � ����Y__�.BLK_��_LOT�LZ_pDOS��C C�� <br /> � OWNER�I�L��� ��jly�a��� ___ CONTRACTOR �'�� <br /> i �� � FLAT ---- -- <br /> INSTALL `��__�g-_ <br /> - --_ <br /> -__ - '-_.__ ._'___ <br /> I HEREBY APPLY F�R THE USE OF WATER IN ACCORDANCE WITH THE <br /> OROINANCES AND POLICIES OF THE WATER UEPARTMEN7 NOW E%ISTING <br /> � OR AS SAME MAY BE HEREAFiER CH�NGED, wcrveo: X.�iC�-=_ ___ .�(j-U��� <br /> � <br /> MATERiAL3 ji IN. 1 �N. 2 IN. � . <br /> _ I � PRICE I AMOUNT <br /> � rirE _ COP £R--GALV.-•STEEL !� — � <br /> ��-—COR—PORATION L � — — <br /> �1� CltK6 COCY __ OT , I <br /> SERVICE BOX PLASTIC •- C" � I I _ � <br /> I METER VALVE ---� <br /> j METER No. ___—_-_'- - _ _-___' I —_I___- -_—' ___ ___- <br /> TYPE: s{ I <br /> t _—'. — — { <br /> � METER BUX CONCRETE SMALL LARGE I <br /> � --_ -' —_I _ <br /> —I—_ _ <br /> ` I I <br /> ' '_ <br /> i I _- <br /> i - _I �I_ -- ' _ <br /> 1 - -___—_-- _— — <br /> � - ---- � � I � I - <br /> � �J�aN <br /> I DATE INSTALLED: OFF ,�j `/ SUB TOTAL <br /> � -.� - 7 ; ❑ , <br /> `�, oDE I LABURANOEOUIPMENtRENTAL I HOURS qATE <br /> �-�I . ,"� --- - --- � � <br /> j-= .r------ _ -----�--.`�'- - - -- <br /> I__ IJ ___--- _ __ <br /> �- -� il- - -- <br /> i _����--- -- --- �-- - -- _. <br /> .. ., , � <br /> � i ., , _, <br /> �— -- -- - ------- _�_ �,— — <br /> I_ I — --- <br /> I - TOl'AL <br /> I REMARKS: � � y , � <br /> I -- ,�i--y�v--�L_—L�^ Lu-e���-'Lcs�c_ - <br /> � - — <br />