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APPL� /'�� " • � �- <br /> rvo. `L�7(�2. APPLICATION FOR SERVICE <br /> 9ERVICE�O �5 i �) <br /> C�7'1' nF EVERETT WATER DEPT, ORDER <br /> ��*r� <br /> � DEPOdITs � �--� DATE� –7/�_�Bl/ <br /> �-- 11_ <br /> u W. O. <br /> �–___—_–�_ <br /> $ERVICC ��Y ADDREB�) D�/�I�G� /1/�r ,p���� <br /> OWNE�� aoc y �ac=_�u_�vc BLK. LOT_�DONC�iC��/UJ 4� <br /> 0 <br /> 3 i/ p�T �T'—� CONTRACTOR�,��� <br /> IN3TALL�� SERVIC '—'�--�---� <br /> I HEREBY APPLy FOR THE I15E OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> 81GNED: �(_�`�� _ __��� <br /> NAT[11IAL� <br /> yi IN. 1 IN. I 3 IN. � - <br /> PIPE COPPER- PRlce �MOUHr <br /> GALV.-STEtL <br /> CORPORATION <br /> CURB COCK OT I <br /> SERVICE BOX PLASTIC � I <br /> •• C I <br /> METER VALVE • ,l <br /> METER No. — <br /> — TYPE: � —_--- -- <br /> M[TER BOX CONCRETE — <br /> 9MALL LARGE — — . <br /> _I <br /> I --- —_— <br /> I <br /> --_-- I — <br /> DATE INSTALLED; I ❑ pN I I <br /> I � OFF SUB TOTAL <br /> CODE � L�BOR ANp E0UIPMENf pENTAL `� S <br /> I MOURS RATE <br /> I��________'__ �-�__- -__ I <br /> i I <br /> __�j �_�_ ---- I __� - <br /> I _ I -- __ <br /> .____�_� - �_ �---��_ I <br /> �� � ___'___-__—�____'-_ —_ i _'__ __ <br /> REMARKS: _� _ � , 70TAL �9 <br /> —-- - - "�-= '�_ '�' _�—--____-[Z�- �� . <br />