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�' APPL. L� �'�I I <br />No. <br />�,�IXED <br />v� <br />� DEPO5IT ;j �� S-� _ <br />Cll'Y OF EVERETT SERVICE �0 6$ 8 n <br />ORDER <br />APPLICATION FOR WATER SERVICE -� G <br />DATE � ..�--1810 <br />TO POSTINf _ ��� f ��o°_— — <br />SERVICE (BY wDDnE8e1���U 2 - / �� �`' ��� BLK._ LOT__—ADD.— . <br />OWNER���-a�,�- --- CONTRACTOR_ — � -- <br />q �,l FLAT � <br />INSTAL J TSEFERED SERVICE - -- -- —�—� <br />I HENEBY APPLY FOR 7HE I15E OF WA7ER IN ACCOROANCE WITH THE <br />OPDINANCES AND POLIGES OF THE WA7ER DEPAPTMEN7 N01V EXIS7ING %' <br />OR AS SAME MAY BE HEREAFTER CHANGED. sI�NE�:X __ ���.r�"(,��•--------�- <br />MATERIALS � Y� IN. � � IN. � 2 I . � � PRICE AMOUNT <br />_PIPE ��(pO�O y' COPPER -- GALV. -- STEEL_ �,7 _I _ II ��, <br />Y— <br />oR 3�lov /��7 _ . ---- - ---- - � ----- --- —� -- --_ -- <br />�Ra ,�+F--�► 3� 9��7 ------� - —' � �— — -- <br />SERVICE BOX PLASTIC -- C 1 I I <br />—_—. � �. __._. � —_ f —. _ — ____ -- - _. <br />_ — <br />r.�r��--w.� �to 5ali<,(C' wtu�e.. �F/�. ' <br />--- -- - ---- - - __ -- --- <br />METER No. . TYPE: _._ ___._� .. __�_ i__� . . . <br />- -<?170C'��DrJ' Jr.tL'_—__-_ - -_ _..___ _ <br />� <br />METER BO% CONCRETE SMALL LARGE I I_ ' <br />-- — �}� 3�1 _�cX� 3`f�__ ----- -- — — - I �—.—I—,—�— . - - -- ---- <br />DA'fE INSTALLED: <br />COOE � <br />REMARKS: <br />��f3�:_7_-- -- <br />�,�8`�� _- - <br />� i �c' _ �Fr�V1? S_fo c� -- <br />x(t' ON <br />� <br />7� �D � 9O � OFF <br />LA?OR ANDEOUIPMENfRENTAL <br />��—�—'-- --- <br />�---�I ------ — - - <br />� <br />' ', <br />— SUB TOTAL <br />I HOURS RAT[ <br />____' �.�`i]" I. ��_.__ -_"_ _ <br />- — Q, u>al-ar.�., 1 I <br />--- y� 3i� I - � i-- - - <br />--- -3� 5 - - � r— ---- <br />- — ��0 5 J—`� — -- <br />TOTAL <br />