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APPL. ^ �� • / <br />r{o. <br />� U� �%< � <br />��FIXED <br />� DEPOSIT �� h , u :� <br />SERVICE (e�vnonaess) � �, <br />-.1 <br />OWNER�.%it-� .c._... � % �r.-_ <br />j�, FLAT <br />L__LF_— <br />� <br />APPLICATION FOR SERVICE SERVICE �� � �% y <br />ORDER <br />CITY OF EVERETT WATER dEPT'. j „, �;� <br />DATE.L'—��_� � _79L�_ <br />\V. O. <br />No. _ <br />5 ^ ��% _�L�/��BLIC. LOT Ai:�J. _' <br />�;�/�•'Y 't''-c'J.___CGNTRACTOR �"•.9»-c� . <br />INSTAL ' - ;.:C-7-E.�ED SERVICF -. / <br />I HEREBY APPLY FOR THE ❑SE OF WATER IN ACCORDANCE WITN THE ////�-,.�-r�/-��� C.-G , _. <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING �--.—y <br />OR AS SAME MAY BE HEREAF7ER CHANGED. s�crueo:X�. <br />MATERIALS �� IN. 1 IN. i 2 IN. <br />PIPE GOPPER--GALV.--STEEL I J. <br />CORPORATION <br />CURB .^.00K (OT� <br />SERVICE BGX ��LA', <br />—,C <br />METER VALVE <br />METER No. <br />METER BOX CONCRETE <br />DATE INST�ALLED: <br />CODE � <br />REMARKS: <br />L!/ �%j,%) <br />-• C 1 <br />TYPE: � `,.S <br />SMALL LARG'e <br />� ON <br />' �. �. <br />n OFF <br />LABOR AIJ� EqU1PMENT R[NT.�L <br />PRICE jj AMOUNT <br />5UB TOTAL <br />HOURS RATE <br />,l `. . <br />�' <br />"' I'I <br />__ _ <br />' j --" <br />II I <br />