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APPL. (� VQ�� AppLICATION FOR SERVICE SERViCENa 779 <br /> Nb. <br /> '� i � CIT;' OF EVERETT WATER DEPT. oRoea <br /> �i,0,_5 <br /> � 1'IXED OATE ��'C �� �� <br /> —18_ <br /> � oevos�r � b0o00 <br /> _ w.o. <br /> No._ <br /> SERVICE �BYwnDREss)_(B�G T.l.j[.l�Cp_ ii{ 1� �p. _oLK. LOT � � <br /> —y—J�DD.�.tle� ViCyi <br /> OWNER_ ._______ _ _ _ __CONTRACTOR_ j'1 �'1'�t21 C OD . <br /> IN57'AL��L��� F�L�*r�n*+- <br /> SERVICE_'—__"________ ` � 1 <br /> 1 HEREBY APPLY FOR TNE USE OF WFTER IN ACCORDRNCE WITH THE �� �� �� �'� <br /> OROINANCES ANO POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. 9lcu¢o� X k�� �(��� _ ____ <br /> � 1TEPIAL� �� In. � IN. 2 IN. <br /> � PRICE/ AMOUNT <br /> PIPE COPPER--GALV.-STEEL.____ ', � I I .SV7 u�Gj <br /> CORPORATION — <br /> _--_'—__— II I <br /> CURB COCK OT / I — � � <br /> ( <br /> SERVIGE BOX PLASTIC__`- C � ' I Ic <br /> — II �,�J�' <br /> METER VALVE — <br /> METER No. ___ _ _ TYPE: I � I <br /> _—__ — 1 � <br /> _ METER BOX CONGRETE SMALL LARGE I� <br /> �� r- L z _i _L_i- - q i�� <br /> -- On �� „ sr �. � <br /> _ _ G ,�p�.-,� �� � Jz" —�_ _ �ft> <br /> — —� - — i'--' - <br /> �1� -, - <br /> � � ON � <br /> DATE INSTALLEO: / � �1/ ! A I ,� ^�F —1- r,, , ^ SUB TOTAL / � <br /> l LY' <br /> CODE I� L�BOR ANO EOUI?Id[NS RENTAL — I HOUF9 �R�TE � <br /> � ) c'1 .. �C, � � r � <br /> ,�' <br /> ��� �„ � .n�' �—� _ � � <br /> --I _ � �� <br /> j --�-- _ <br /> --I -- — - —— -- � 11 i -- <br /> ---- ---- —�� j <br /> I ---- --- ------ —— --_— ----- I� <br /> �� Torn� /� <br /> REMARKS: ��,,til(r i�' � � r � r� I. i •.- . <br /> /1�,�.J// / L1� _-��.. —�u ---.�__. . ."_ . _.1.-'_ . .---_ <br /> _ i � _ <br /> . ..,. <br /> — ____� .Lf � ��,__. __�_� ___ . �• - ' _.'_._.. _ ' _ <br />