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APPL. . BERVIGE <br /> ' ' No. 21��,�5,� CITY OF EVERETT - oRoert No. 416 G <br /> qPPLICATION FOR WATER SERVICE ,� /I� —'�s <br /> DATF�/ <br /> �-FIXED N O. <br /> . ._ � DEPOSIT ���� ��. <br /> - �� �¢�G� C-y LClDO� BLX._�_LOT�—ADD� - <br /> SERVICE (�v eODe[�sl �-. S <br /> OWNER�dl� v�S�T��'1�'���- —CONTRACTOR <br /> / '� FLAT <br /> IN6TALL_I--METERED BERVIC <br /> I HEREBY APPLY FOR THE USE OF WATFR IN �CCORDIINCE WITH THE 1 I ��� ��� <br /> ORDINANCES AND POLICIES OF THE W:fEft DEPARTMENT NOW E%ISiING 1�1� _ <br /> OH AS SAME MAY BE HENEAFTER CHANGFD. elcNEo:X 1Nk <br /> MATWI�L6 �' IN. 1 IN.� 2 IN. I PRICE AMOUNT <br /> p�pE COPPER-- GALV.•• STEEL _ _� <br /> CORPORATION — — -- ' -- <br /> CURB COCK OT I — <br /> SERVICE BOX� �PLASTIC -- G I I • <br /> METER VALVE � _�_. -- ---- - —� <br /> METER No. TVPE: _)��___. _-- — <br /> METER BOX CONCRETE SMALL LARGE __ __ _ _—_ <br /> I <br /> _—_—_ ——I _ <br /> '� <br /> _ —� _— <br /> I I I <br /> � I � ON <br /> DATE INSTALLED: � OFF SUB TOTAL <br /> COD[ <br /> ' L�BOfl AND EOUIPMEN'f RENTAL NOUR9 R.\TE <br /> I '—_ ���I <br /> I I <br /> I -- i_� <br /> __I ___' — I —__ <br /> I �_ _ _��_ <br /> I <br /> — I TOTAL <br /> REMARKS: ___ ._. <br /> SERVICE ^ <br /> CITY OF EVERETT ORDER No. 41Gb <br /> APPLICATION FOR WATER SERVICE EVERL7T.WA9MIN6TON.—� ��-� <br /> ,�y�� ���� <br /> RECEIVED OF—�ON 1`.� v t�.�TAG.l.VL.7—.- S r ��' ^ —��r�'r��-�tF=--� <br /> _DOLLARS_ CENTS <br /> TI�F: SUM OF /� <br /> � / i f LOT_.---(----ADD G -C�� ' -� ' �i i`!"(�;'-�PT <br /> FOR CONNECTION AT BLK � 1-�Z� ���- <br /> o�=��,/ �/q l.- 1. FIXED___S <br /> No.—_�7L��-s7/ �ILUf�E1 f� .STREET . . . . ,�. '•i�� �� <br /> 2, WATER___S <br /> /�� 3, �EP0517_i <br /> �P ?. �-�d/�i _�v�. ..Eo_ _� GL'L'�.�u� ^ 1 FR �' � <br /> o. <br /> � i <br /> �1 <br /> ! <br />