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i � . <br />i �/t� � � APPLICAT'ION FOR SERVICE SERVICE No ZQ49 <br />APPL. .� ^ �� 1 .y ORDER . . <br />�"°' ,.:�( ( c•: ' r' CI7Y OF EVERETT WA'1'ER DEPT. �7 <br />OATE�1��—�9 �.S . <br />i "�`}. FIXED <br />� 1 �„ W. O. <br />, � DEPO5IT g I �: . 1 • � � � No.— I, <br />� �? � � 'Y 0� <br />� °_>CJ;, �� j"y r�=,�, �•(i��^ LC�. BLK. LUf"'" � noo. �S.YC'�L' /;L.'!'/ � <br />� SERVICE (BYADOPESS)--- — <br />. ;i � i� r�7 n � _� � <br />� L !9'c/L.�/G! � .�'/ � / �f � �CONTRACTOR --- <br />' OWNER_--�----' <br />, ���,� �� FLAT _ — <br />�i INSTALL— !�'�"SERVICE ---- <br />� I HEREBY APPLY FOR THE USE OF WATER IN ACCOF:DAlr:E 141TH THE L� C. �/%'� �� <br />ORDINANCES ANC POLICIES OF TH[ WATER DEPARTMEN7 NOW F.XISTING s�cNEo:X.. -�'�����` �-�—�- <br />I OR AS SAME MAY BE HEREAFTER CHANGED. __� pq�CE AMO� UNT <br />MATERIALS °n Itl.I 1 IN. � 2 IN. � I I <br />. �L.�.�r'��I' <br />i PIPE _ <br />� CORPORATION <br />C� <br />I SERVICE BOX� <br />I METER VALVE <br />� METER No. <br />i -�_ <br />� METER BOX <br />OT <br />PLASTIC <br />CONCRETE <br />S.� <br />L" l.L/. o <br />� DATEINSTALLED: <br />CO�EI � , <br />GALV. -• STEEL <br />TYPE: I 'g <br />SMALL��LARGE <br />I � ON <br />��.�0 7..�� � OFF <br />LABOR AND EOUIPMENT A[NTAI <br />I " <br />I-- -- � \ �--- <br />� I�i�/. /� �— �. t 7 <br />I — � - �.-- <br />�_'� � '��1y -- _—. <br />I '--�'1�C/L"- " — – <br />!—_��� _ : �T � -- <br />� --�-��_... { ---- - <br />� �---------- - <br />� <br />� RE�dARKS: �.' �. - � � C. <br />I_" _ _'--_ . ..__'__--__— <br />� <br />��.SUB TOTAL <br />Houns � RATL <br />i <br />/ •, TOTAL I � <br />i - <br />