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f.PPL. �J t'�. / � <br />n<. <br />�� FIXED� � " � <br />K DEPO5IT S 3� n�/3.�'" <br />APPLICATION fOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />SERVIGE +Y� � !- � � <br />OR�ER <br />., <br />DATE_ �3�_ 1 �- 19 � `. <br />W. O. <br />No. _ _ _.. __-_ _ _ . <br />" ,� T-I1 __BLK .. LOT. _ __ADD- -- <br />SERVICE�er�ooncee�__--�n/- -------"---� �-�-- -�_� i � <br />� ' � i . . 7, r >.� _. <br />� ' �_.�. CONTRAGTOR --'-- ���- - <br />OWNER-..__LS..C.`..___L:-t'���-r - � .�.�.! . ,I:..�- � <br />' ' i �FLAI-- ' _ . . c �� _ � _. _ ���_L.__. . _. . <br />INSTALL � ---METERED 5ERVICE_ - �- �-- � - ' - �J . <br />I HENEBY �PPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �7 / (/ <br />ORDINANCES AND POLiCIES OF THE WATER DEPARTKENT NOW EXISTING � Crf�i �/ ��<<��iL(_q�+-'-- <br />OR AS SAME MAY BE HEREAFTER CHANGED elcr+eo X� �� -��- _ <br />Vi IN � 1 IN I��N I PRICE AMOUNT <br />MATERI�L9 ��. I <br />PIPE COPPER -� GALV. -- STECL , II _'__ __ _.I-_ I . . � - - <br />..______" _ � <br />___ __.'_-- _ ____'__—' I ..-'. _. <br />CORPORATION _ _. __ . . . . _ . - - -- I <br />CURDCOCK � �T�-��_ .__ --- I . . . ��I I <br />_ _ __ I <br />_ '-. _-"_ . _ _ _ . <br />SERVICE 60X PLASTIC - C I _ __ _ _ . ' � --' - <br />__- -_-' ___ - f7L/7 <br />METER VALVE �-- ---' '- <br />METER No. ��/�-}� l,IIII�'ITYPC �'���. �. I __' _- — __. '. ' . _ _ I«�� <br />_ - —__ <br />METER �O% CONCRETE SMALL LARGE __ __ � �j --�/ <br />__ � L - i ' . -' �.'1/ /t' !.' � _ _ . //L�,�/ <br />� 4X\Y�� � �__, i .. ^! � J�(7 /,�47 --_ � � /�. <br />� l � _ _ _. _ _ .. _ I �.,f i <br />�� 'iiXNXV ''!� L�. M _ , ,� O'a97! <br />DATE INSTALLED: <br />CODE � <br />I n �N <br />�� OFF <br />LABOR ANC EQUIPAI£Nf PENTAL <br />SUB TOTAL <br />HOUP.� RATE <br />_ .. .-.__.____—__I_. _.. <br />_ .. ._ _-"_. _.___.__._-." .. <br />__.---- _ <br />-.-..-_-_� __ <br />•4--�---_. _ .. <br />