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� � <br />�,AjnPL� �i��S'�-I� APPLICATION FOR SERVICE SERVICE NQ 231� <br />CITY 0� EVEitETT ORDER <br />WATER DEPT. � ;, <br />�j FIXED <br />/� P�'�� DATE___'� � �-- __19L�'__ <br />� pEPOSI'i g 4 -1 .� <br />�- W. O. <br />No._. <br />' �j � ,� q i _-' _- _ <br />� SERVICE lBYA00NE56) �� /G��l- � � _ <br />� <br />-_,L �—. `� � a --' � -c. � <br />, �/ � . _ . -• -BLK._ LOT_l_ADD.� � ' v �� i <br />� OW�iER %''/��-L�-:�.�'L-Jt.-!j�<.4, _.._ <br />_CONTRACTOR <br />I INSTAL ';�C/ �� C_FLA7 ,. � --____ ___ <br />�--,=--�--METERED SERVICE-_ \ <br />I NI'REBY qppLY FOR THE USE OF WATER IN ACC.ORDANCE WITH THE � �� i� /J <br />�� ORDINANCES AND FpLICI[S Cf TNE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY EE HEREAFTER CHP.NGED. � �"� � y `/ <br />�-�,_�. SIGNFO:X .-�vL.'�_���LC.__....=✓ .� <br />I MATEflI4L3 % IY. I IN.' 21N. I -� ��-_- �.. . <br />PRICE AMOl1HT <br />L P�F'E _ COPpER - GALV. -- FTFEL I I I I I I��—' <br />� CORPORATION <br />r- --- <br />CUR9 COCK OT <br />'- _— <br />� SERVICE BOX- <br />� METER VALVE <br />r--------_ __--. <br />I METER No. . _ <br />?LASTIC -- G I <br />__'___ _..-TYPE_ ___"_I >4 <br />i �•iETcR eVn CONCRETE SMAL!_ LARGE <br />r- <br />� <br />I DATE INSTALLED: - , <br />i �Q - = <br />� COOE � <br />II ._..-. _-__. <br />I � <br />�i_ _ � <br />I ' <br />I i <br />I i_��N <br />n OFF <br />LA�Oq qp�O EQUIPMENT RENTAL <br />i--- _ _----- - – <br />I------- ------- <br />I— ' <br />i <br />REMARh"S: <br />� <br />� SUB ITOTAL I � <br />HOU�RS q4T[ <br />/ <br />/ ___. _ <br />1 _ <br />TOTAL <br />