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APPL. � � �.� SERVICE _�. - . <br />No. � i i� CITY OF EVERETT OR7ER NO. <br />APPLICATION FOR WATER SERVICE �j ��� p/ <br />o,ayG/— `�y-.0 , i efL_ <br />� FIXED � <br />� W. O. <br />� OEPOSIT s No._ <br />��j U y 1 L J/ L�'C• f(/ ' _BLK._--LOT._L--��n��:a.i �C� <br />SERVICE (eYwoDR 65)—/ / <br />�.��.7 �r/ ZJV�_� �-�- ' —CONTRACTOR_ <br />OWNER � —:.,�_•- -._ ..-_ <br />� ��� <br />INSTAL � I.jETERED SERVICE_----�— -- <br />I HEREBY APPL FCfi 7HE USE OF WATER IN ACCOFDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WA7ER DEPAF7MENT NOW E%IS71NG g�GN <br />OR AS SAME MAY BE HEREAF7ER CNANGED. <br />MATERIaLS � IN. 1�N. � IN. <br />f'IPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER N�. <br />METER BOX <br />OT <br />PLASTIC -- C I <br />TVPE: � `S <br />CONCRETE SMi1LL LARGE <br />[7ATE INS7ALLED:' I <br />�� <br />COOE I <br />REMARKS: <br />ON <br />)S � OFF <br />LADORAND EOUIPMENfRENTAL <br />N <br />� __ <br />� PpICE <br />SUB TOTAL <br />HOURa' RATL <br />TOTAL <br />/1MOUNT <br />-C-� <br />� <br />� <br />� ., <br />-1 - <br />V S <br />f� <br />�C O <br />mc <br />�: <br />� c <br />o � <br />�. <br />�--I z <br />_ -. <br />m <br />O �.-~- <br />C <br />D — <br />r� <br />«. �. <br />-I v <br />< <br />'n <br />o � <br />T T <br />--1 r" <br />2 <br />m� <br />0 <br />v <br />or <br />c� r <br />c c- <br />3 V <br />m <br />z �. <br />-1 r <br />. � <br />> <br />V <br />C <br />