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APP��� �� CITY.OF EVERETT seevice �. � �� I <br /> No. ORDER NO. <br /> APPLICATION FOR WATER SERVICE <br /> � FIXlD DATE��--���- <br /> a0 W.O. <br /> � DEPOSIT S�O D _ No.— — <br /> SERVICE (�r�DDnecs)--�-a � A✓J /�M S �_��.__BLK._21.Z—LOT�J�_qpp��NE.lfNAS T <br /> /] � � � ��� � <br /> OWNERSCI^L��� —CONTRACTOR __— —..--- — <br /> INSTALL��—METERED SERVIC�—_—-- — "�—/�- <br /> 1 HEREBY APPIY FOR THE USE OF WATEH IN ACCOFDANCE WITN 7HE // ` <br /> ORUINANCES AND POLICIES OF TXE WATER �EPARTMENT NOW EXISTING � y � � <br /> OR AS SAME MAY 8E HEREAFTER CHANGED. s���Eo: - - ---�.(.4f>.,."^"-�-j_ <br /> � . . . .� ... .-MATERIALB � IN. i IN. i 2 IN. I PRICE AwOUNT <br /> ���., / <br /> p�pg COPPER- GALV.--STEEL _I3J I _ _ � <br /> � <br /> CORPORATION _ - <br /> URB COCK �• � � � � <br /> ___ _I —�—'I —_ <br /> SERVICE BOX� PLASTIC - GI , <br /> METER VAWE _.___ - <br /> _METER NO. '____�__ TYPE: __ .____I 45 _ — ' ____ __ — <br /> METER BOX CONCRETE MALL LARGE ____I_ — <br /> �Y!/�D 1.S'�-/ T�P—. S.a�D DL� I I i - - <br /> �, � - '- -I-1-- . <br /> - i �- <br /> - --i -�----- - <br /> - -- - ---- �- � ; <br /> D/�7E INSTALLED: 7_ Z�Y,� I � OFF SUB TOTAL <br /> ��pE I LABON AND EOUIPMEN'fP[NTGL HOUNB �ATE <br /> �i --- �' `-�`'�-' --�_,�—__ <br /> _�I — ! <br /> � 3 <br /> _ _�,,:±.��1d''.�4�----I <br /> _ —�, ��a��----—i-�— — — - <br /> — <br /> ' �� r ��� <br /> i _—��- --- - . <br /> - - ._�—_ , Z �__�.. <br /> —II--�-----�---- ---� <br /> ----�— --- — _. <br /> —i -- �----- --–-- I <br /> -- TOTAL <br /> REMARKS: .-_--. _ _'---------- - <br />