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APPL � �-3 / `� CITY OF EVERETT <br />No. � <br />APPLICATION FOR WqTER SERVICF <br />� r-ixEo � 6 � <br />� �eFosir s ���} <br />SERV[CE cer aooncs���'�� —f �f✓__„�!�Y�� <br />/ l/� �J� _E <br />OWNER_���`LL� 'b�-�i'��iL-v _CONTRAC <br />3/ „��,�,r 5 . <br />INSTAL�_�_p!E7ERF.D SERVICE—_. —______ <br />I HERE9Y 4NPLY FOR THE USE OF WR7ER IN ACCOkDANCE WITH 7HE � <br />GROINANLE� AND !'OLI�IES OF THE WATER UEPARTMENT NOW E%ISTING � <br />UR ,\5 SAME MAY BE 4EREAF7CR CHANGE�. 91GNed <br />M.wTERIALS �;� IN. 1 IN. � <br />PIPE .._._ — � <br />COPPER--GALV.--STEEL <br />CORPqRAT10N <br />CURB COCK OT _ i <br />SERVICE BOX PLA�TIC -- C 1 I <br />METER VALVF <br />METER No.__ __ TVPE: -.._—� I �, — <br />M67ER BOX CONCRETE SMALL LA�tGE <br />I � ON <br />DATE INSTALLED: L,� �/_ u� � OFF <br />.� _ <br />COOE I LABOP ANOEqUIPMEN�fRENTAL <br />I <br />� ----- -- <br />i _ �C% 0 C/ � <br />-�-- �--- <br />-� -- --- - <br />REMARKS: <br />SERVICE ,-: -� ,,� j`, <br />ORDER NO. . . . <br />DATF��� __J__18U2_ <br />w. o. <br />No. <br />.� <br />LK._ LOT `�`3 q�� _ <br />� ' .i {v <br />PFICE II AMOUNT <br />SUB TOTAL <br />HOURS RATE <br />�—I11fR -- <br />� ! � � � <br />� i , �� --- <br />TOTAL <br />n <br />