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� <br />; <br /> : <br /> 0 <br /> 1 � <br /> � APPL.��S 7 � CITY OF EVERETT SERVICE „ -+ n 1? m <br /> No, ORDER NO. ', �-� � <br /> APPLIC'ATION FOR WATER SERVII;E p}�( <br /> • FIXED DATE�—t��_197LL .r rr <br /> � � � <br /> � DEPOSIT S O � No��-- N 'x <br /> , .�P /,io�_3�/-�9 <br /> SERVICE (/��Y,wooREas1 �� " BLK._ .LOT� ADD. m � <br /> OWNERL-�G'�• � — CONTRAGTOR — �— � � <br /> INSTALLI�`_M�ED SERVICL .----- -- — _ '"� <br /> m <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOFO�NCE WITH THE / '""' <br /> OROINANCES AND POLICIES 9F THE WA7ER UEPARTMENT NOW EXISTING ���J — `-.Ei�� C ` <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. eicneo: X (P —_—_ y � <br /> rx <br /> MATERIRL6 �ii IN. 1 IN. � 2 IN. ' � PRICE AMOUNT �+ � <br /> — �� --I N <br /> pIPE COPPER-•GALV.•• S7EEL K <br /> T <br /> CORPORATION I o a <br /> --� m <br /> CURB COCK OT I I = <br /> _ _ m .-� <br /> SERVICE BOX PLASTIC -- C I __ I � r <br /> METER VALVE � m <br /> C t/i <br /> --_ ._ .____' — — —_—— _ — —_ 3 (n <br /> METER No. TYPE: I `S m <br /> _ __ — — — — z c� <br /> METER BOX CONCRETE SMALL LARGE__� ___ _ � a <br /> IA <br /> '_ — —I <br /> I D <br /> __I __ _' 2 <br /> — __ � <br /> —� —_ 2 <br /> � <br /> —__ I Z <br /> _I i _� H <br /> �{ ON n <br /> DATE INSTALLEO: / � 3� Q [ j OFF <br /> SUB TOTAL m <br /> V J <br /> COOE � LADOAwNO EOUIPMENfRENTAL � HOURS RATC <br /> I ��_�� � <br /> I _ JC ,�^oore I �I u --- <br /> I - .� Zu� I I " --- <br /> _-� _-1���-- � - -- _ <br /> -� � - -_ - <br /> --� _ - ------ -_ ---;--- - -- _ . <br /> TOTAL <br /> REMARKS: <br /> � � <br />