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� APP`� ���� APPLICATION FOR SERVICE <br />'"°' CIT'Y OF EVERETT WATER DEPT. <br />1 <br />I � XED 6n <br />I � DEPOSIT s �� I <br />� ^ �> �/�r <br />� O O ` S/�����iVG� BLK.— <br />, SERVICE (BY ADDRE95) n���JJJc <br />I OWNER �L_I��'v �-'�'�'�—__CONTRACTOR_- <br />I INSTAL � // FLAMfE� SERVICE_-�-- �- <br />I OROINANCESPAND POLIC ES OFETHE WATER OEPARTMENT NOWWEX 5 ING <br />gIGNEU: % - <br />I OR AS SAME MAY BE HEfiEAFTER CHANGEO. <br />MATERIALS �w IN.I 1 IN. I� 2 IN. <br />i PIPE COPPER -- GALV. •- STEEL � � _ <br />� I <br />CORPORATION ---- I <br />�lIR6 COCJC ( �+�',' __ _ ' � <br />� S ICE BO%� PLASTIC_ _��_�( ��Q_ <br />I METER VAWE .. _ _ _.____. _._ _-.--- � - <br />METER No. _ TYPE: _ _ 3f <br />� SMALL LARGE <br />I METER BOX COPICRETE _ _ <br />� .3.SCe - �f �Q� 1_d�='c�' - <br />I � <br />� _ - - <br />� _ <br />' _ -_--_ . _. _ <br />' I � CN <br />' D.4TE INSTALLED: _ �FF <br />COOE � LADOp ANn EOUIPMENf RLNTAL <br />I R[MARKS: <br />� ----����)�- <br />SERVICE No 1752 <br />ORDER -}.�, <br />DATE.._-_� .� v�9 /J <br />W. O. <br />No.— <br />�G.-. O �_"_—_ <br />Z Znoo.��5i ,�/�� <br />I I PRICE �I AMOUNT <br />y SUB TOTAL <br />_�_ IHOURS RATE <br />I�— _ <br />I'—��.— — --�— - <br />_— I _" <br />- - �i a- -- - <br />- -- ---- --<- - - - <br />TOTAL �I � <br />_ � �- <br />