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i <br /> ����d�-�� � CITY OF EVERETT BERVICE � <br /> No. ORDER NO. <br /> APPLICATION FOR WATER SERVICE oA����—'�� <br /> � FIXED �d W <br /> � DEr061T : 3 7J No._-- / �y�-- <br /> f � /7 /' S' P- /a?o�- � �yf-f / <br /> 9ERVIC[ (wA �u�1�.L � , ��x�-�—BLK.. LOT�ADD.-- — <br /> OWNE .��J--GONTRACTOR_---------- — <br /> �/ PLAT�.-=� <br /> INBTAL�/ E`I'EREDEE GE�--� ---- --- ---- --�----- <br /> 1 NEREBY APPLT FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> OROIN�NCES ANO POLICIES Of THE W�TER DEPARTMENT NOW E%ISTING �iaNea: x � - � - -- - -� - -�--- <br /> OR AS S�ME M�Y BE HEREAFTER CHANGEO. - � <br /> MATCRI�I� W IN. 1 IN. � 3 IN. � PIIICF AMOONT <br /> �P�r� �AS7� GOPPER •-GALV.•-STEEL Y� l _ _ <br /> CORPORATION ---_______ � ---��-I---- — <br /> CURB COCK OT _ _I —— <br /> SERVICE BOX PLABTIC C I I � <br /> . ______—__-..— / <br /> MfiTER VAWH — — - - <br /> ' '._.._-___ _'-_'__'_ ___-__-_— <br /> — ._'_. _ __—_' _ _ -- <br /> — —__' ' <br /> METER No. GI O TYPE: , AD���._ �S '� ---- <br /> MET� Eq BOX ' CONCRETE'�r SMALL LARGE � __ __ __ <br /> _w�___ - -------�-� <br /> �BD�S',1/ S�LrL/��A���S9D0'�E — -- -- <br /> H-_ 1�213_-- -- - � �--- -- <br /> --_2P�3__.___ I i - -- <br /> � - - <br /> -- _----- -- -� - - - - <br /> -------- -- -�- i i- <br /> ON <br /> DATE INSTALLED: / � ����� OFF <br /> SUB TOTAL <br /> t/ <br /> cooc <br /> I L11B011 AND COUIPMEN!RENT/�L I MOl1R! MT[ <br /> I —�A-a���—I�� -- <br /> i ---- --- - -- - <br />� � —,C�,�;:le-�ara,r��-�-- - -- <br /> --- _ __— <br /> - <br />� � - - - -1��-�-�---��- ---- <br /> � ��-�� ��— �_�G.E!--�-�- --- -- <br /> —�-- <br /> I - �3'��--�-�-��'*' -- <br /> --- <br /> ___ -_ _ _ . <br /> __-- -- ------ <br /> --- - - -- <br /> --;------- -- <br /> i <br /> — TOTAL <br /> REMARKB: �_ _ /� _ . . . ._._ . . . . .. .__ . _ _-._____--_..._.___-'- <br /> t _ .. _ _._ . _ __ . . <br /> � <br />� <br />