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� APPL.���/I� ' <br />ao. 21(G/Z- APPLICATION FOR SERVICE SERVICE N" 2365 <br />CIYY OF EVERETT WATER DEPT, ORDER <br />Q. FIXED �� DATE�� � _ � <br />�, `L Z✓ —18 � <br />, � DEPOBIT s � 7 ��' <br />W. O. <br />� No.__ <br />� SERVICE (BY ADOpE6Y) ��� �J T1�j'����__I �,.� BLK.�LOT S ADD�'x'-1+�ti/ �i'Y�_ <br />I � <br />OWNERL��N1. �_ f�-{��t L�] <br />, p� __CON7RACTOR <br />! INSTALL � i rEegp����E <br />I I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />� ORDINANCES AND PGLIQES OF TNE WATER DEPARTMENT NOW EXISTING I � / (, <br />OR AS SAME MAY BE HESEAFTER CHANGED. �`� � I -��' � <br />61GNED: X . i` � �t _ l_____ _ _ _— _ _. _ __ __ _ <br />� <br />' MATERIALS 14 If1. 1 IN. i 2 IN. <br />� I ��qICE,,J� AMOUNT <br />L F'�PE _ COP R GALV. -- STEEL �3L�' �I� I <br />! CORPORATION I ' � I � <br />�-------- __ . -. _ —I 1 � � I i_ __-__ I� <br />' CURB COCK OT_ <br />� SERVICE BOX PLASTIC -- C 1 <br />� METER VALVE <br />r------'--' __.. _ . .— .-'_ -__ _'. _ <br />i METER No. .� (� (j S' TYPE: n <br />1 - - __' —_� _ _ — U�� � r /j I 35 <br />! METER BOX CONCRETE SMAL _LARGE <br />'n " <br />�_ <br />' DATE INSTALLEO: �_ G'�_ "7 ^7 I � OFF <br />� / / <br />� CODE I LABOq qND EOUIPMENfRENiAL <br />I-_I_'--_-__-__ ' -__ . <br />� I .. __ ___ .._�- _ <br />�I / <br />I�i � <br />� <br />� <br />� - <br />II—il__I—__ __' __-- <br />SUB TOTAL <br />� HOURS � R.�.TE <br />+��7�_.-.- _-.'____I_ y__ <br />/' T'//F� --`yf�,-/- �--� �_.- I-_L- _ . <br />-_- <br />� _ _. --11-� / / -_ I_! _-- <br />____--_'_ _. .- _ __��� � -.__ I � -- <br />r_--n' - _- <br />__--_-___ _�.�_.L�.)� ._. ____ _ "'..L <br />- --TOTAL <br />I REMARKS: � / <br />�—.—_�,�:'i.L'—=L���__��:... . �.. __ . —' _'_.__— ___ . — <br />