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AFFL /% S�� APPLIOATION FOR SERVICE <br />No, ✓ � C17Y OF EVERETT WATER DEPT <br />/rJ �C - . <br />� FI�D <br />� DEPOSIT S /�j�.! � <br />SERVICE (ar AooAess)��� — v / � �� ��� \4LK.—_ <br />OWNER --- CONTRACi6R!��� <br />// �� FLAT <br />IN3TAL'�M�a SERVIGE _— <br />I HEREBY APPLY FCR THE USE OF WATER IN ACCORDANCE WITH TNE � <br />OflDINANCES ANU POLICIES OF THE WATER DEPARTMENT NOW EXISTING � <br />OR AS SAME MAY BE HEREAFTER CHANGED. sicNto:X�--���� <br />MATEHIALB �i I% f IN. i 1 IN/I <br />��f_' <br />PIPE COPPE •• GALV. -- STEEL � I <br />CORPORATION <br />CURB COCK OT <br />SERVIC[ BOX PLASTIC •- C 1 <br />METER VALVE ` <br />METER No. <br />METER B,'�X CONCRETE <br />/L �C/) � �a/i % <br />TYPE: � i5 <br />SMALL LARGE <br />� �)N <br />DATE INSTi�LLED: J • ') `J, (r���� .q OFF G_��� �' � i� � ' , <br />� / <br />COOE l LABOR AND ECUIPMENT FENTAL <br />I <br />- � � <br />I_ i .,.'. �—_ <br />� _ — <br />�i . ��% , � — � � _— <br />REMARKS: <br />--.—__--_ <br />�-�/7_L-----___- _- --- __-- --- . ------- <br />SERVICE � 2 7 g <br />ORDEF2 / <br />DA �_ "{�� —19'"L <br />W. O. <br />No._— — <br />Pfi10E AMOUNT <br />.�z 31b <br />SUEi TGTAL <br />HOURS I RATE <br />TOTAL <br />/� � <br />_ � <br />iC' i�� <br />' I :; f <br />� <br />i — <br />� i'' <br />� <br />�f0�',5 <br />i <br />