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APPL. q P'S�/ CITY OF EVERETT sERvice ., -- �;::� <br /> ORDER NO. <br /> No. �7'`� qppLICATION FOR W.�TER SERVICE �yJ ,(��7, <br /> � DATLYL°"'+Li:"'' I�__19� <br /> C FIXEO ��- W.G. <br /> � DEPOSIT f �__'___ / Alo.___------ <br /> SERVICE ce �DRE88 6 6 `.�V`=�/'�/�1• .pG�BLK._ LOTR�/ -AD��---- <br /> n— <br /> OWNi%�ia4�Zy� . _l��G �! �Y-�,�JJ�ONTRACTOR — <br /> �� AT " <br /> � - v <br /> INSTALL_�]`� <br /> �J TERED SERVI E------- — � � � <br /> I HEREBY APPLY FOR THE USE OF Wti7ER IN ACCORDANCE WITN TNE � � ��-T��1�� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING 91GNE�: X��---���'�"�-"'��- L—n.-� � --- <br /> OR AS SAMC MA DE HEREAFTER CHANGED X � <br /> I PpICE AMOl1NT <br /> MATEfilAL6 �/i IN.� 1 I-N � IN � I <br /> p�pE COPPER--GALV.--STEEL I I ___�I__ I_ __ -- <br /> _ -- - �-'-I � , <br /> CORPORATION _ - — I � <br /> CURB COCK OT _ _ I _I_ __.. ,I - - � <br /> pLASTIC •• G 1 �I I - � - - ! �I <br /> SERVICE BOX _ __ _ �- - <br /> METER VALVE -� <br /> ---_ <br /> . . - ____'_ _- . <br /> __—__.___ __'____—_'---- . <br /> TYPE: I ��' <br /> ME7ER No. _ __._.-- . ____— __ .- - <br /> ____�--_.. <br /> _ __-_' ____..._.___ — � <br /> METER BOX CONCRETE SMALL LARGE _I , . _._ __ - <br /> _ _ _------i---� L I - <br /> _ -- --- --� - � - � - <br /> � _ -- <br /> I � - - - <br /> _ -- � I --- <br /> ------ -�---� - <br /> ��I�� � - <br /> ON <br /> , / SUB TOTAL <br /> DATE INSTALLED: s -L� �- ��7- I � OFF - <br /> LABOR NDGOUIPMENfPENTAL � MOURS RATE . <br /> COOE � I <br /> ,, S� ��_Ll� <br /> „ <br /> --- —_ _— -- _ ___ _ l.�i�cc re l�_- --- - <br /> �� <br /> -- - ` %jr?ll� I�— — <br /> - ---� f Q���--- -- -� -- - _ <br /> , <br /> --- <br /> - _ - - ---- � <br /> --i -- - - <br /> -- - --- _ ___- I- <br /> --' ---- ----- --- -------- � <br /> — � TOTAL <br /> REMARKS: � � � <br />