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APP�• �' �/' SERVICE - <br />No. lD CITY OF EVERETT ORDER N° 6730 <br />APPLICHTION FOR WATER SERVICE <br />� <br />FIXED DATE—� _�� _18�� <br />❑ ��u _ <br />� DEPO5IT s � (� _ W. O. <br />No.— <br />C(� _ � � k � �� J ,�,,.� .-<-,... <br />SERVICE (BY AO�HEBB)_�%�!� -^ A� P I�LJ __BLK..—_LOT_�ADD.—L�.� •. <br />OWNER��f 1J?1s'--�/ ��` CONTRACTOR_ <br />FLAT � LC%�� 9 --��-- <br />INSThI_ '� � ED SERVICE�—= -� � �l/�/ J//�, <br />I HEREBY APPLY FON 7HE USE OF WATER IN ACCORDANCE WITH T� i�t.�� �Y�•/%C�> ��� ! <br />ORDINANCES AND POLIfIES OF THE WATER DEPARTMENT NOW E%ISTING / (f�� ' <br />OR AS SAME MAY BE HEREAFTER CHANGED. slGneo: X���L�__.. ��lY1�f_.L� -—_. ---___ I <br />KL L <br />MMERIALS - --_ � �N. 1 IN. � 9 IN. ��, PR�� AMOUNT <br />PIPE COPPER -- GALV. -- STEEL ��I--I I ', I <br />CORPORATION <br />CUR9 COCK <br />SERVICE BOX <br />AIETER VALVE <br />METER No. <br />ME7ER BOX <br />OT <br />PLASTIC -• C I <br />_-----_ _.—__TYPE: —___ ' _—'_ I j. <br />CONCRETE __ SMALL .LARGE <br />_--- _.___—._ _.—___. ___._ .. . � <br />ON <br />DATE INSTALLED: ���� —GJ � I � OFF <br />0 <br />CO�E I LABOr ANDEOUIPMENfRENTAL <br />REMARKS: <br />C.�t'�L �i'� y.a _ Z% C� S� __ _ <br />J <br />'.'— __' __ . ' .. _—__ _— <br />I _— � <br />—' ---�4-- _ -- <br />SUB TOTAL <br />HOL1R5 � RATC <br />TOTAL <br />� <br />,u <br />