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APPL. ^ �� �n �' � <br /> No. oL7.j,2� CITY OF EVERETT sERvice t� 5 <br /> ORDER <br /> APPLICATION FOR WATER SERVICE N� 6 0 9 0 <br /> p�FIXED DATE__����10� <br /> Y' � <br /> � DEPO517 s � � W o <br /> � No. <br /> BERVICE (�Y wDORnp_�p��,^_�a_p,�- _BLK._ LOT_�,_qDD._�Qr I�/AbJ <br /> OWNER— �p✓1�` ,S_�.���/ CONTRACTOR <br /> 3 � FLAT <br /> INSTALL �L� ED SERVICE_ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE f <br /> ORDINANCES AND POLICIES OF THE W,1iER DEPARTMENT NOW EXIS�ING <br /> OR AS SAME MAY BE HEREAFiER CHANGED, slcNEo: X ___ ��,n <br /> _______ _ .___ _V'_____— <br /> MIITERIALS �' IN. 1 IN. � 3 IN. I <br /> � PPICE ' AMOUNT <br /> r�PE COPpER•- GhLV.•• STEEL —� I <br /> CORPORATION �-- <br /> — — �—� <br /> CURB COCK OT i -- <br /> SERVICE BOX PLASTIC •• C '_ I — <br /> METER VALVE - — <br /> METF.R No. _ TYPE: __I ng ----_ --- -- --- -- <br /> METER BOX COh':RETE SM.\LL LARGE <br /> _ ___I_— —� <br /> � <br /> — I �__ <br /> I �_ <br /> I i <br /> ON <br /> �� DATE INSTALLED: J J�/�� d� � OFF SUB TO7AL <br /> is a <br /> CODE � LA90q AND EOUIPMENf qENT <br /> MOUR9 R�TE � <br /> � I I <br /> I_.3�/�L� � � - <br /> ---- � <br /> i -------- I-- <br /> � — <br /> TOTAL <br /> REMARKS: 3�L/FLF�I <br />