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� AP�'���� APPLICATION FOR SERVICE SERVICE N° �190 <br />N�� G � ORDER <br />! CITY OF EVERETT WATER DEPT. �i�- <br />� �PIXED U DATE��__19� <br />�� DEPOSIT S�C�i O W. O. <br />— No. <br />�� SERVICE (BY AODRE69) y=! S� ��[�� �LK�"��'_�o��L�'z _noa���'CT�-_ <br />�� OWNERS��3�L���-_�L� �yQ„ CONTRACTOR____ <br />/J u F — <br />I INSTALL/ ETERED SERVICE �•_- .___ <br />I I HEREBY APPLY FOR THE USE OF WATER IN ACCOROANCE WITH THE / <br />+ ORDINAN�.^.ES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING L / <br />OR AS SAME MAY BE HEREAFTER CNANGEO. s�cNso. X�/��� (����-�= �'' <br />i_ --'� ---- ~-1-- - _. . <br />� MATERIALS I� IN. t IN.'I ����� I PRICE �I AMOUNT <br />I PIPE COPPER - GALV -- STEEL I I I I7 I I I I I� <br />I CORPORATION <br />I CURB COCK <br />I SERVICE BOX <br />I METER VALVE <br />� METER No. � <br />METER BOX <br />OT <br />PLASTIC -- C I <br />_ �i/« DS7�2n NI�S <br />L�—_ _. .._�. TVPE: %ICI'j� <br />GONCRETE SMALL <br />� ,._ .�1"` ,L����_-,S'3_l�lP �'cR�« <br />�—�7� `/•f �= � � j� D v_7.J' lV%pr <br />"— ,.Ls '' 6Ai� �1Lr.1' �� c s' - -- <br />, <br />i -� =:�° f --- - - --- <br />s <br />L <br />I DATE IN5TALLED: /J� `/ _ 7/ I -L�- OFF <br />L6 l z <br />cone � � .o.,e ..�.. �..���.,..�.�..,�.��.. <br />�-I <br />' I - - " <br />I i -- <br />I i <br />i I <br />i- - <br />i-- --- -- <br />� <br />SUE TOTAL <br />i.__.... <br />���` �'�" ---- - - � — <br />�`�'�— _ /�_ <br />�A1._��/ll_'.h�� _� G- <br />� � -, <br />�-� - -�-- <br />,. n --- i � <br />i �_ y,� rr � r� �� <<� �; s <br />� REMARKS: - � i"� p— �� D �1 <br />I--_—�Lr��.._:�� -S--YI�I.-� r ������ _ C- __—_%�/l �.^ <br />/ <br />-RATE _ �� <br />TOTAL <br />'_ _. _ .____ _ _ . . _ _ __ <br />