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APPL��� / ` APPLICATION FOR :FRVICE BERVICEN� ZE�1. <br /> N°� �c���y CI7'Y OF EVERETT WATER DEPT. ORDER (1 <br /> o'i�FIXED �fSO�O� DATE V �S —Id_�_ <br /> V yy <br /> �EPOBIT s ��-rn .�/ �/Y/ /�/Y�C // / No� � p t _— <br /> �Cl � �� � /U .7 v BLK.v��L� 7 �7'OCD �J <br /> SERVICE �6YADDRE6B). � �Y" <br /> OWNER � CONTP,;.CTOR/'���� vOIC! � _ <br /> (� _t�wcc LMEC�� L'v <br /> INSTAL�METERED 9ER�ICE—_ • ^ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE _ , / ^ � �� � <br /> ORDINANCES AND POLIQES OF THE WATER DEPARTMENT NOW E%ISTING J�_�}� ��� , / <br /> OR AS SAME MAY BE HEREAFfER CMANGED, e1cNe�:x-�-�lL7-SG1!1 <br /> _�_.___—_ <br /> NAT[RIAL� K IN. 1 IN. 2 IN. � PR E AMOUNT <br /> PIPE COPPER GALV..��-STEEL 3� <br /> CORPORATION <br /> CURB COCK OT I <br /> SERVICE BOX PUSTIG - G I +_I <br /> METER VALVE <br /> _METER No. �3�I.IG TYPE: n _, � M — —_ _ _ <br /> METER BOX �ON��� 3MAL ARGE _ <br /> 11 <br /> ���'���p�le- �1d��_�u����c� — _ — <br /> �.�r�_�"_ N��_y�°,c�.ao�u s-- --� — -- — <br /> --tt�liv,c�s ! I� — - — <br /> -- �,ccuketi��ei eR-_�uTes-� — --- — <br /> _—�=LQ�a�F1�r�``�ud��/.��J���I�_I _� I _ <br /> t <br /> � ON <br /> DATE INSTALLED: P- %P.• /7 Q _- �Ippp � / SUB TOTAL <br /> b 0 l �C m C <br /> LODE � IABOR AND ECWPMENt pENTAI I HOlIRS RAT[ <br /> �� -- __ ------ --����---II�d - <br /> ----� — --- — �z�hc'�I�11 -- — <br /> —� � <br /> . — � --- __'�l�?2f�'� � -- — <br /> --',i-- ---- ---��ti=--�- <br /> TOTAL <br /> REMARKS: <br />