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APPL.� /��� <br />No. i4 � <br />APPLICATION FOR SERVICE SERVICE N° 221 5 <br />ORDER <br />CITY OF EVERET4 WATER DEPT. '7�_ <br />DATE �� l� 19, �. <br />�FIXED - ----- <br />��/- o-G� W. O. <br />� DEPOSIT g No._— <br />SERVICE (BV AOURE85) ��� �� 5'"! Ll Sj S��, �� gLK._� _LOT1 ZADo.���____ <br />�'j���� /�� ! a.c;� <br />� OWNER�.UCC���l.Y_Q�Fa-� ��f CONTRAC:TOR <br />' '� AT <br />INSTALL.�C�.METERE9 SERVICE— — <br />�. I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE I/� - /�/� <br />� ORCINANCES AND POLICIES OF THE WAT�R DEPARTMENT NOW E%ISTING /\� y� _/J�/ -��i'_"""`_Y— <br />OR AS SAME MAY BE HEREAFTER CHANGED. s��Neo: X L\..)_CRC]hiA,:L k��--__ <br />MATERI/LS �'i IN. 1 IN. � 2 IN. I � PRICE AMOUNT <br />iPIPE r9PPER1- GALV. -- STEEL SO ��I�I I �� <br />� CORPORATION <br />CURB COC <br />; SERVICE BOX <br />� METER V�.WE <br />1--- <br />I METER No. <br />! METER BOX <br />OT <br />?LAS71G -- <br />CONCRETE <br />� �ATF.IN57ALLED:,/�. <br />� <br />, CODE � <br />I <br />I {3EMARKS: <br />TYPE: � 3f <br />SMALL LARGE <br />rt7 ON <br />h� <br />' -7 / � OFF <br />-�LABOR AN� EQUIPMEN'f RENTAL <br />/C <br />� <br />SUB TOTAL <br />HOURS � RAT[ <br />TOTAL <br />