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ArrL. ��L1-l� CITY OF EVERETT SERVICE �io 61H4 <br /> � No. � ORDER <br /> APPLICATION FOR WATER SERVICE <br /> �FIXED DATE—�-1 Y� <br /> � DEM31T s ,� '.Wj'O. <br /> � lERVIC[ (�Ywoo11W) BLK._ LOT ` ADD. <br /> � �� <br /> OWN[ CONTRACTOR <br /> INSTALL_-_-LF-- � pED 3ERVIG � �� Z��' " <br /> 1 NEREBY APPLY FOR TXE USE OF WATER IN ACCORDANCE WITN TNE <br /> ORDINANCES AND POLICIES OF TNE W�TER DEPIIRTMENT NOW E%ISTING <br /> Oq AS SAME MAY BE HEREIIFTEX CXANGED. s�cweD: X. —----- <br /> MATi111ALi - �L IN. 1 IH. � S IN. �� PRICE �MOUNT <br /> rl►E COPPER--GALV.-STEEL <br /> CORrORAT10N - <br /> GURB COGK OT I I <br /> SCRVICE BOX PLASTIC -- C 1 I <br /> M6T[R VALVE . _ <br /> METER No. TYPE: I Sf _ ___ <br /> METER BOX CONCRETE SMALL LARGE I___ _ <br /> — I I <br /> I <br /> I <br /> _ I �— <br /> I <br /> I I <br /> � ` l � PS1/ I ON I <br /> r � SUB TOTAL <br /> DATE INSTALLED: � / O 5 � OFF /vU�49 <br /> COD[ � LAlOq AND EOUIPMEN'fNENTAI MOUR! RATE , <br /> �I __I - <br /> I -- I - <br /> -' _--- <br /> _I - - I <br /> _I - � <br /> T07AL I <br /> REMARK3: ��Jr� - D�� _ <br /> I <br /> I <br />