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R _� �� <br /> , <br /> , <br /> r,PP�. ��� � O APPLICATION FOR SERVICE SERVICE N_ 9 3 :� <br /> p r <br /> No. � OrTDER � <br /> •;�,c7��/ `� CITY OF EVERETT WATER DEPT. DATE� � / ^ " 19� <br /> .�-F�XED -L�1---�/-J�_ <br /> � DEPOSIT S,,S � U V 1N. O. <br /> nl o. <br /> SERVICE tuJ�7 noorscss� � / O% �n�J'Lf� ��_�_<K�-�G1 .�c-,LIC. LOT ADD. — �—..._- <br /> OWNER_11.'��� ��-'7�G� / CONTfRACTOR _ <br /> ✓��� � � <br /> INS":ALIL : METERED SERVICE / � <br /> 1 H2BEBY APPLY FOR THE USE OF WATER IN ACCORDA�CE WI7H THE i <br /> ORDINl�NCES AND POLIpES OF THE WA7ER DEPARTMENT NOW EXISTING \ � � �, . � � � <br /> OR AS SAhIF MAY BE HEREAFTER CHANGED, sicNem �� � . _ ____ <br /> IAATERIALS I °i IN. t IN. � 21N. I � � �PRICE AMDONT <br /> — I— ����II�'_��,. //J(J J <br /> PIPE COPPER-- GALV.- STEEL I C�I I I r .�J� �T IO n <br /> CORPORATION _ �� �� �I i C, <br /> GUR� COCK OT I <br /> SERVICE BOX PLASTIC •- G 1 � I ��I <br /> tdETER VAWE <br /> MF_T_E rR No,y-9.��I4-��I�G�O_G TYPE:�iei�r . � I sa;. _� —___ �� <br /> METER BOX CJNCRETE�G.w BMA� LARGE _�� �i� <br /> II I <br /> - I - - f <br /> —I _'I___ <br /> - � - —�I — — —...L- <br /> i_ <br /> � I � <br /> ❑ CN — � <br /> �ATE INSTALLED:,r '�_G� I ��FF� /X. SUB TOTAL I /�/ �G, <br /> !A �_ <br /> COOE � LAOOR qND EOl'PMENT RENTAL I MO'JRS RATE , <br /> ��:�, , — --I � �: � � i ~ . <br /> � ,.- � <br /> —����! --- �- `� ''�� II /7 I; <br /> I <br /> - ---- — — � I � <br /> I i , <br /> i — -- -- --------- �--- --�I i — <br /> G� TOTAL � IJ�� <br /> R'cMARKS: � . r- � . . /�-L-' � „ _:�j <br /> .Lf ar_e.L���1:�=tu.�._-�3 G �� h .I�����-!_ e�_L�:d __.��'—��v " <br /> ��1 J c ,1 c <br /> : � -- ---- <br /> --- - _ ___ - - — . _—��_ <br /> 'I <br />