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APPL.- )/C Fy/7/2 A"rPUCI;TION FOR SERVICE SERVICE jv21457 <br />��ii`A No. T <br />CITY 01• EVERETT WATER DEPT. ORDER <br />_ <br />FIXED DATE 5 <br />i <br />EPOSIT . / Z'f , W. O. <br />' / No. <br />SERVICE (By ADDRES[I_ T� s% �A��L ---- <br />/ SLK.___LOT ADD _ <br />OWNER. _�(�' LyS jp CONTRACTOR hEGtG9�' _ <br />INSTAL 4'1j Mlrrm L /87/3_G6rly -_ D SERVICE / <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING^/ /� <br />OR AS SAME MAY BE HEREAFTER CHANGED. fIGNED: x.•C/ G /1 7- <br />MATERIALS <br />PIP COPPER -- GALV. - STEEL __ <br />CORPORATION <br />YI IN. <br />/ <br />1 IN. <br />f IN. <br />I <br />PpIlC[ <br />. !/• % <br />AMOUNT <br />3 % / <br />I 3 7 <br />R�---- BX_ °T1 <br />/ <br />I <br />8E <br />SERVICE BOX PLASTIC <br />METER VALVE <br />METER No. TYPE: H <br />METER BOX CONCRETE SMALL LARGE <br />90 wCC, <br />f <br />I <br />1 <br />1 p 9 <br />G <br />11O� <br />I <br />UON <br />DATE INSTALLED: / 7 7/ OFF ��Z7�Lbtl SUB <br />/ <br />ZQ <br />p <br />O 9 <br />COD[ LABOR AND EQUIPMENT RENTAL HOURS <br />AltATE <br />--_--- I <br />is 12 3 <br />I:5 <br />TOTAL <br />Demwnne: <br />