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nrP�. I99 8z APPUCATION FOR SERVICE SERVICE (�Jo j 5 � <br /> No. ORDER <br /> ��qFN CITY OF EVERETT WATER DEPT. - <br /> ir i / <br /> '�' FIXEt7 DATE�l-_�'!%�� —igL�i� <br /> � DEPOSIT S LD. �-'t� W. <br /> � / No�� <br /> ..�'. C �� � -7�'74.CL!}���C.�.l�i �/ '7f� /�/, /� /' . <br /> SERVICE (eYwDonE88>� BLK._)f_�L07/Ll_LADO ��'^li G�.�li[.' <br /> OWNER CONTRACTOR � ���f`�7`, �-F� �Z � <br /> INSTAL� j " FLAT �'�-- _— I -- <br /> �dE�[D SERVICE____ __—_. \ <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCONDANCE WITH THE � � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHAFGED. aicneo:X_� <br /> MATERIAl3 ti IPI. 1 IN. � 2 IN. � - ------�—�------ <br /> I PRICE qMOUNT <br /> �'�PE COPPER--GALV.•- STEEL / � I � <br /> �__ <br /> CORPORATION �I � <br /> CURB COCK oT � <br /> SERVICE 80% PLASTIC -- C i I I _—�I <br /> METER VALVE - <br /> METER No. — ______—TYPE: 1 �g --.. — — — — - <br /> _ METER BOX CONCRETE SMALL LARGE I <br /> - - �^� _ I ,I --1- ���� <br /> ---- I i I I— <br /> _ — I �_ — <br /> p ❑ oN I I I <br /> DATE INSTALLED: ( / / / �� " �� I ���QFF '"�--�^.i � , SUB TOTAL I �� <br /> li <br /> CODE I LABOq AND EOUIPMENi PENTAL I HOlJRS fiATE <br /> i .���. 'c , -- —" — � - --_ <br /> ---- � ' `' ,� , ��— � � <br /> � ' � � <br /> � Cb .� I � ... <br /> r � —F— —��� `� � <br /> ; --- — --�I—_ -�I'_ � — <br /> ' �� �` �--:__ __---�-- __ — _ _--- I--- -=rorn�I � <br /> ��1�:.f N, <br /> � ,i' c, ; p�_ _I <br /> G�� 9'�a�/t' <br /> REMPRKS: `� � � � )' '� / / ' <br /> ��/�/� �J ��� � t _ � i-L1L . � �� / i r. , ' Y l l r C` �� `i�. <br /> __ _ ". . .:' . . . � <br /> ,-., _` '�^-- --* -- '1 <br /> _-,/-c�-._��1...- . . _ . � � � -, I __._ � L._. <br /> . (J . _,. . �" !_i! f r �r � ' _ _ _._._ � . , � . <br />