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APPL. _ ZOO /8 APPLICATION FOR SERVICE SERVICE N° % S H <br />N� , ,r�� CITY OF EVERETT WATER DEPT. oRoeR � <br />, <br />�_"� < <� � DATE � � / � 18� <br />Q FIXED <br />� DEPOSIT � CI W.O. <br />SL'�� No. yr� <br />i. � �`-L' 1[�_ /� C:t -r e.f... <br />I / <br />� seRv�ce �er�oorscss�_ � J��__�Z11'J�4'-a_rc-F- L[/ �O , :c_�e_: <br />i(_ BLK.__LOT ADD <br />i <br />OWNER — �� CONTRACI"CR -'c�1 f�.�� Cnot_� � (� <br />�3 FLA7 <br />INSTALL.-L__/__-.. �M1731FRL65ERVICE— -_-_ <br />1 HEREBY APPLY FOR THE USE O' WATER IN ACCORDANCE WITH THE � � "� <br />ORDINANCES ANU POLICIES OF THE WATER DEPARTMENT NOW EXISTING ��, //r'f Id I�� � <br />OR AS SAME MAY BE HEREAFTER CHANGED. slcHeo: X_- _s�:_ ���_- _-_ _ <br />MATERIAI.9 I�� IN. 1 IN. I 2 IN. I PRICE AMOUHT <br />PIPE COPPER - GALV. -- iTEEL I �I�I� � I <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -- C 1 <br />TYPE: � tf <br />CONCRETE SMALL LARGE <br />� ON <br />OATE INSTALLED: /1 -3�^ ` G. � OFF <br />COOE � L�BOR AND EOUIPMENT RENTAL <br />i' <br />FEMARKS: �_ ���! �-� � <br />T/ '�% <br />SUB TOTAL <br />HOUN9� RATE <br />N <br />--- � <br />�Ii I — <br />TOTAL iI I <br />