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APPL. � � ?.030 � APPLICkTION FOR SERVICE ORDv E N� g 51 <br /> No�.7 - • CITY OF.EVERETT WATER DEPT. /�-� <br /> c7CO�5 � DAT � ��-G � � 1 B'� <br /> � FIXED W.O. �— <br /> � DEPOSIT s ��J'� ( No_ <br /> ❑ � -��cC-�L.C-lL�_ `"v V BLK. LOT�ADD. — <br /> SERVIC�?pDa� _/_. — — <br /> OWNE �� ��L��^' �"" � _._CONTRACTOR <br /> q FLAT 2 <br /> INSTAL��3�� SER�/�CE - ;�_. /� .� <br /> ' 1 HEREBY APPLY FOR THE USE OP WA7ER IN ACCOF.DANCE W�TN THE G� rl�y/ <br /> ORDINANCES AND POLICIES OF THE WA1'ER DGPARTMENT NOW EXISTING e�crvco: X I' � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. - <br /> vN IN. 1 IN. � 2 IN. � PRICE AMOUNT <br /> MATE A�8 I �_� /� <br /> � PIPE COPPER_ -}�V•"STEEL �! �� -..XO �I�� <br /> CORPORATION __ / I _ I IG _ <br /> � CURH COCK OT _ -�--'I I <br /> i <br /> � SERVICE BOX j PLASTIC - G 1 <br /> _.��_-_ I <br /> METER VALVE _- --�{- -- � <br /> I s i <br /> METER No. TYaE' � I <br /> METER BOX CONCRETE SIdALL LARGE i—" <br /> _ i <br /> I TI I— <br /> . - �_� I _. �i <br /> I --__ <br /> _ �— '_ <br /> � I /f <br /> � ON � �I!' SUB TOTAL � /a Fj" <br /> DATE INSTALLED: �- �� � C I q OFF ��f�'-C_ <br /> LA90R ANO EQUIPfAENT RENT,IL <br /> HOIIRS RATE <br /> COOE <br /> �I �— -- _i�,� �li � �I`„- . <br /> � _�I <br /> I _-- - ��p�'. �/ p �14 ' <br /> � ��_u, 2�.t, -- ' j. <br /> --� — —v----- �-1—�—�li ;' I� ,- <br /> �'------- – ,�`' —_-- 'I � <br /> I <br /> __I,�-- TOTAL I ✓� 7 . <br /> �� ' <br /> REMARI<5: __ �— S, <br /> L'C_ %/s/ �------------------ --------- ----------- ---- <br />