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i�3y',�j�y <br />�PP�. APPLICATION FOR SERVICE SERVICE N° 1 3 e 1 <br />No. �1f0 ���I�R> ORDER <br />CITY OF EVERETT WATER DEPT. <br />DATE_S2�t Z'i __�o%O <br />� FIXED RENCWAL <br />� DF.POBIT �___ _ __ ry �_ _ ._ <br />BERVICE�er�oone�e�_311 N. C,.IJOt ROad ______gLK.___—LOT_—ADD. <br />OWNER__—__-------- -----CONTI2ACTOR.—_ — <br />FLAT old service--custemei- renewed their li�e. <br />INSTAL� METERED BERVICH------ --- -- —� ----- — <br />I HEREBY �PPLY FOR THE USE OF WATER IN �CCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEP�NTMENi NOW E%ISTING Ma� __ <br />OR AS SAME MAY BE HEHE�FTER CHANGED. •ieHeo: X_—_ --_-.------------.- --- <br />MwTERI�L9 �! IN. 1 IN.1 II IN. i � PRIC[ AMOiNT <br />PIPE . C��P�'[ • GALV. -- STEEL 1� I_._ __ � <br />CORPORATION � I'� I <br />CURB COCK OT_._� I _��•���/ Q <br />9ERVICE� BO�f !_'/ PLABTIC •- C I � I I� d111�_. <br />METER VALVE <br />METER No. _ _ _ _ _ <br />METER BOX CONCRETE <br />TVPE: _._____�__?f <br />SMALL IARGE <br />-_�Z r 1, <br />� ON <br />�ATE INSTALLED: � - �'y (1 �' 'J� � OFF <br />CODE L�lOP AND EO�IpNEN�1IENT�I <br />I_..__._—'_ <br />SUB TOTAL / <br />Houne� n�re <br />TUTAL <br />REMARKS: � � 3�'� o r � ., _D •��___Q _—!__�S � O nJ E6° .S� �___ <br />� � <br />—_ ''. <br />' � ` J <br />�—. � . ., . <br />. �. � . .. , . ,,' _�. ( _' _'— i__ <br />' .' .___ _. ____. .____.. <br />'_ _'__._.._...___.....__ _ -_ ._ . .. ._ � .� . --- <br />