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APPL.���Q7 � CI'iV OF EVERETT SERVIC:E <br /> N�� � ��� ORDER NO. <br /> APPUCATION FOR WATER Sf:RVICF p �7 <br /> �FIXED �� OATE ���/ _ Ig/J_ <br /> � • DEP091T s.�GJO W. O. <br /> No. _ <br /> /O � ' -G.'^ ��'_`�"�^TJ /.�.G/• .BLN. � . _ . <br /> 9ERVICE ��r �ooecs�i LO7 3 .noofCJ�v'. J���.�i+ <br /> __ _ <br /> /J ' � �tS.to <br /> OWNER"� _ C{ ' �j}c�� - CONiRACTOR _. ._._ ___ .. . .. <br /> // FLAT _._—_-- <br /> INSTALL� _ .__ .LMETERED SERVIC . . . . . . . . <br /> _'_ ._ __.. ____ . _.. . _ ______. <br /> 1 HEREBY APPIY FOR TME ❑5F OF W�TER IN ACCORD�NL'E WRH TNE '� %1 / <br /> OROININCES AND POlIUES OF fHE WATER DEFARTM�p� NOW E1(ISTING �.1 �` � .r / ` / •/ <br /> aN AS SAME MAY BE VIEREAFiER [HANGED e�cw[o: % t� �.-�I'�c1� � ( r' --t" � <br /> __ MATERI�Ie 141N. I IIN. i21N. � I PRICE •MOUNT <br /> PIPE COPPER GALV*•- STEEL I i����. <br /> . '—_—_..___. _ � <br /> . . . '. ___ �7 . ..__ ___ -_ . <br /> CORPORATION I I I �. <br /> ..CURB CCCK '__ OT '. -- ___� ', . _ i,__i, —'—' ___ ' <br /> SERVICE BO% PLASTIC -� C I ' � �� � <br /> .__ —'__ _ . . . . . . _ ._ . ._.. _I __ _ <br /> METER VAWE � � � <br /> F� / I-- <br /> n _ — -- <br /> METER No._ �G'..f� TVPE'e�.q� . . / I _.__..i <br /> i u i_ ' <br /> LMETER BOX CONCPETE '�L�� MALL ARG I _ I _ <br /> -- �.'�� �9 - 9.$'�TAP, S� �D[C ; I <br /> � __ _ <br /> _ . _ r7.��4' �`�' fj:.� �v D�yj� Nq',�C r. 1 <br /> .-, <br /> !'/tl�' L'AF��G j � — — <br /> ,� K �,. /v�P�y r / ' <br /> �,���-�,:,�r-, , � ,� _.. <br /> q � �c ---. <br /> . �]'rMu'rGA`F�-i+N AF . . . ._ __. . . Y �' -- _ . <br /> �"IlN�srG�SRC�.i NCP�nqr,i�__ 'I I I _ <br /> .� (y ON <br /> DATE INSTALLED: �j /G_ y 7 �� GFF SUB TOTAL <br /> O / <br /> COOE 'i L�BORIINO EOUIPMlNf RCNIAI IIOUPI R�TE <br /> I __.--___ . . .� �. ��i� . _. / ` . .. . .. <br /> _._._ .._ i�`:.f%rs/NS��'' � C . <br /> ' /S � �lN'�1/SC �V � S` -- <br /> —� �/� ��� ��.2 // �� --- - <br /> _ I �i ��� h� — <br /> �---- � .3 y z _ f <br /> _ _ .. ._ <br /> i <br /> TOTAL <br /> R[MARNS: <br />