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,, <br /> N;��� as�G �- CITY OF EVERETT OqDER� N0. � �� �- I r <br /> APPLICATION FOR WATER SERVICE <br /> DATE//��I4����—f Y <br /> � FIXED p W J� <br /> � �oero�ir � �—BO <br /> oi d� , <br /> 1 No. <br /> 'CIIVICC (�Y ADGI1p���J�_D /�+ —,5� C — ,/ C''!'"'�"�6LK._�QLOT�AD u b'f <br /> OWNER CONTRACTOR � <br /> �� FL <br /> INSTAL � TERED SERVIG _ <br /> I HEIIElY A�PLY FOR THE USE OF W�TER IN ACCORDANCE WITH THE � <br /> OROINIINCE3 ANO �OLICIES OF THE W�TER DEPIIRTMEIIT NOW ERISTING <br /> OR AS 51ME MAY BE NEREAFTER CH�NGED. •lor+[o: — _ <br /> MAT[RI�L/ K IN. 1 IN. � IN. I �111C[ �MOUNT <br /> I�[ a �� COPPEH-• GALV.-•BTEEL _ � <br /> CORrORATION r Q _ <br /> CURB COCK OT _I __ ��_ <br /> f[11VICE BO% PLA9TIC •- C I I <br /> METER VALVE KU Z '/�. �. _yw _ ! ______ ___ _ <br /> METERNo. 7L� �j,GsS I_ VPE: ___I_K __�___ _____ <br /> M[TER !OX CONCRETE � lMALL LARGE _� <br /> f O - � I --- - <br /> � --- -- � � - <br /> (O Co�r- w i v`�. —�� �— — <br /> S oG !�u 5 fo!1 cca.-s�e rw�S C __I <br /> ------ �--i �— - <br /> �., oN <br /> DAT! INSTALLED: � �- I OFF BUB TOTAL <br /> COD[ I L�BORANDEOUIPMENfRENTAL MOUP! R�T[ <br /> I . �Te�C I N_ <br /> � — ---- - , 5 ►-e�.t•�,:1 „ <br /> I � '� -- <br /> i ����_- ���� �� -- <br /> I 8 � rr <br /> � - --- _ - --- -- - -- <br /> I <br /> TOTAL <br /> REMARKB: <br />