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^PP'-�7Z.���-�"�' APPLICATION FOR SERVICE SERVICE No Z3gg <br />No, ORDER <br />CITY' OF EVERET7 WATER DEPT. '''7(_ <br />I Q'FIXED � DATE__�Z.IZZ_._19� <br />� DEPOSIT E� OD� E�C, W. O. <br />-+ �1 No.__ __ <br />SERVICE (BYADORE6fi). � �I ` `--���(�E� �T __ BLK:I��LOT J �� f=. <br />. ADD.. �C)QZ(>P�,(� <br />OWNER���I.--� � I�L�=� __CONTRACTOR.____ <br />I INSTALI- ��IA"y_ �TE� SERVIC � <br />I 1 HEREBY APPLY FOR 7HE USE OF µ �� <br />I ORDINANCES AND POLICIES OF THE W <br />OR AS SMME MAY BE HEREAFTER CHA <br />� <br />� MATERIALS <br />IN RCCORGANCE WITH THE <br />DEPARTMENT NOW EXISTINf, , <br />GIGNEO: X J <br />__.. ��/ IN. � i IN. ', 2 IN. <br />� P�PE COPPER�i GAL\'. -- STEEL <br />I CORPORATION <br />� RUC B COCK OT <br />� SERVICF_ BOX ?LASTIC �- C I <br />� METER VALVE <br />� METER No.� '_- ..._-__ . . _ . .TYPE:%/I/OCN% I___`-_ <br />I <br />METER BOX CONCRETE SMALL!'LARGE <br />I _ — _ <br />i �/'� ,� 1/ L, —__ <br />�—.� _f_i� _�-_�'%l %� <br />�.—�_.G�L-T�_ ��_ S _N_/L N_/{ <br />I-- - --- <br />I <br />--_.- _____. '--__. <br />I <br />[Df ON <br />I DATE INSTALLED: `t' <br />�_ %-:�4--77 � OFF <br />� CLO�E I LApDR FN� EQUIPMENf RCNTAL <br />PRICE <br />� � � <br />-----I—i—i— -- <br />S110 TOTAL <br />� HOURS R4TC <br />� <br />. __. . __ __._.'__ .-.' __ __ - _- _-____- <br />i- I � � <br />i I _ -_-. -L- L% _l ��-Y <br />� <br />� . '. <br />j�---- - -- -C>' � -- <br />I--�--- -- -- --- - - - <br />REMARXS: �:. ) ', V . _ , . y=� . � � <br />..� ,;`_- . ' . . <br />__ _'_��_-.._ =.i1-' . <br />, —_ __-_ -<1__-_-_ _ -_ _ <br />N <br />AMOl1NT <br />' _ _ <br />4 <br />TOTAL <br />