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�� �� 3 <br />APPL. .'-� ,�. ..., � pPPLICATION FOR SERYI�E serxvicE�� <br />No. <_- /� � '�! . j ORDER �7��. <br />C� fY OF EVERETI' WA.iER D�F7. / <br />- PIXEO DATE�/ f! � �___1�J7L_ <br />� DEPOSIT t /_ D � <br />�Ll U'�- W. O. <br />No._ <br />, �i �fi� 5'/'a ��cs r�� <br />SERYICE (6Y AOOREB!)���-�� � J jl ` �h • BLK. LOT�A�D.- �fL� ____ <br />OWNER �LF�/�f ES D���?/i CONTRACTOR ��LG�/,�/vJ �, �� UU/26� <br />j/� !i FLAT <br />INSTALLL�ML�RiD-SERVICE _ <br />I HEHEBY APPLY FOH THE USE OF WATER IH ACCORDANCE WITH THE /J �// ^ <br />ORLASASA E MAY BEL�NEREAFT R'{ C ANG D,DEPAHiMENT N01Y E%ISTING BIGNED: X C.4L- r.LLS�.yf✓�`-'_�a��-r�..� ___ <br />MATERIALN I L' IN i 1 IN i S IN I � <br />PIPE OPPEI <br />CORPORATION <br />/�_� _— <br />_ C RB COC�1 �Q,iJ <br />T�- <br />SERVICE BOX PLA9TIC <br />METER VALVE <br />METER No. <br />ME7ER BO% CUNCRETE <br />-- C 0 /-� - � <br />GALV. •- STEEL <br />TYPE: I <br />SMALL LARGE <br />-/--11� !'�t a�f•-/��� C� .Crp( <br />r <br />�s'� lC � _ D CIr�' o� � <br />�� _ J-- <br />h� �z (n'S l �-i�..��.s�,.'"`_�_•_.O � <br />(� � / j. <br />p ❑ ON <br />DATE If15TALLED: /C��U�%� � OFF <br />COOE ��i LABOR ANO EpUIPMEN'f PENTAL <br />� �-1�---P.�__,.// _—__"_. ._-.... _.—_.__. ___-_ <br />- -;��y� -- --------- <br />-- '�`�7-- ---- -- -- <br />i PRICE AMOONT <br />3' f I�I-� i��.���Ti� <br />SUB TOTAL i / <br />[ <br />HOU�iS � RATE <br />� u �7 �k <br />! 3 �- --/,S-zJ <br />I <br />--`3=— ¢ i�� �j � 55� <br />I�-_�- — -- --- <br />� � j 7 pL• <br />;-_ -- -_� �6 <br />� <br />,I- -- <br />Torn� //`�" /L <br />nE41ARK5: � � `- � � � <br />,., i . . . � � . <br />-- -- - - - -- -- --_ _ I _ <br />��__ _ __- -- <br />, r- �__ x �• . „..,, t;: . . .,,.,:; �«�_. - - <br />�------- - - --- <br />