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APPL. i���l?��� CITY OF EVERETT BERVICE ��i, �+ <br /> No ORDER 1\' U 1 5O <br /> APPLICATIO� FOR WATER SERVICE ��� pG <br /> � DATE-- 194 U <br /> , � FIXED <br /> � W.O. <br /> � DEPOSIT ��_ No._ - <br /> � BERVICE �wAoo�[n1�/�[��}�- ,.-�j-._ - —BLK.. LOT A D.-/��, <br /> OWNER� �� T�VC J/ l� � ��"�CONTRACTOR_.1)..L�...IL�..ts-'ti/�-.�`-c-i--���I-- <br /> �� F <br /> INSTALL�--LM�TERED SER-��V�CE�-.-- -- ' ` - -- -� �- - <br /> I HEREBY APPLY FOH THE USE OF W�TER IN ACCORDAHCE WITH THE � � <br /> OROINANCES AND POLICIES OF THE WATER DEPAPTMENT NOW EXISTING 81GNEp: % - . - <br /> OR AS SAME MAY BE MEREAFTEF CHANGEU. <br /> MATE111A16 Si IN. 1 IN. � 3 IN. i I -PP� AMOUNT <br /> PIPE �f.�OG7��_ COPPER-� GALV.•- STEEL _ <br /> CORP 3�6�-+Z43_L-.---____ _ �/�-�� __ ..-_ _ <br /> CURB GOCK OT j I-- - � -- <br /> SERVICE BOX PLASTIC -- C I I ,__ , ____ __ ___. <br /> __ -. __'- _ .__-- '—___-_ . <br /> _METE �-�3�0�91�7 � �!75 ._ -- -� I - -- <br /> METER No.- __ _ "_ - . ��.. � TVPE: .. __ _'_' I K __. �—__ _"-: ___ '- _ _ _ <br /> METER BOX �N�7�TyVw�L�l7�I�MALL !.ARGE __/ _ _ _ __ _ <br /> L�,� 3v0U ���17 _ _---- --- —��--_ — <br /> Ac(a � 3�vo�o4 7 -- - �, <br /> ���d��I �r 3 y 7_ -�! -'— -- - - — <br /> —��l`"__.���3��� _._ —-�� — <br /> I �— — -- <br /> --- ___ --- — I i I <br /> � ON <br /> DATE INSTALLED: 3 - .3c� � �� �OFF SUB TOTAL <br /> COOE I LABOR ANOEOUIPMENfPENTAL HOUfl3 R�TE <br /> �, �'i�Q �---- _ - s " I Z -- <br /> �- - -- ---- Z <br /> �, C. T�1fe�7��9�i -- <br /> -- - 2���_� -- — — <br /> , _ 3�-"5 -�—y — -- <br /> — --- — --�--- - -- — — <br /> — ----- <br /> --- -- — — � <br /> ---�— -- -- — — <br /> — TOTAL <br /> REMARKS: .__ --_ _—__—______.--.'--__'_-—_ '- _ <br />