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'�PP�" SERVICE <br /> No. ��� � 'i I 1 Y OF EVERETT ORDER NO. <br /> ;1PPLICATION FOR WATER SERVICE <br /> � FIXED DATE_3/)_ j�__1gZ� <br /> � DEPOSIT s ,yZ,JJ �— W. O. <br /> -- No._ _ <br /> SERVICE torn[+oqcss��Ll�LG�.Li2�� ,.t.1_—LOT � / ' /��_ / <br /> n � BLK. �ADD��lI��.� <br /> OWNER_�2. � _�C�.f,.� L.t/-�. <br /> CONTRACTOH <br /> � ;�( `�FLAT/ <br /> INSTAL� ti1EfERED SERVIGE--_ ______ <br /> I HEREBY APPLY FOR THE U>E OF WATER IN ACCORDANCE WITH THE <br /> OHDINANCES ANp POLICIES OF iHE WATER DEPARTMENT NOW E%ISTING �?���� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicr+eo: % � � � "�"�-c' + _ �< <br /> ------�--- �-- -��.a . ----�--� <br /> MATERIALS �i�ilN. tlN. l 21N. I I PRICE � AMOVNT <br /> PIPE , � ;:'��.�!:'• COPPER-- GALV..-STEEL i��. I � <br /> �_�-� _____ — — _ —�_I__ <br /> CORPORATION I <br /> CURB COCK OT � I I <br /> SERVICE BOX ,-' pLqSTICf��-- C I � I I_ _ <br /> METER VALVE ��� <br /> --._- ____�- ___ __ —_ __ .—._.— ___—_ .___- __._ — — <br /> ME7ER No. TYPE: I �6 <br /> -_ —____. .._._..._. ____ ___ _ _ _ .—_— _— _i_- ___ ..—_— _, <br /> METER BOX CONCRETE SMALL LARGE � <br /> . ti y ;, _ ,.� t, - — <br /> - O ; J �-�-�-F� Y,.� _, T - --- —� �--I —'�—I-- ' — <br /> I <br /> -- —� --i — - — —� <br /> � � � <br /> I �� OM <br /> DATE IN:iTALLED: � OFF SUB TOTAL <br /> CODE ' LADOR ANp EOUIPM[Nf RENTI.L MOl1R5 HATJ <br /> I , ' <br /> f�..��G"QP - I-_. - <br /> -_" _ -_� i ' _--_ ___-_ <br /> .- GGa {'�.L�! , <br /> ��� `-,<;" � � � ��\- - - ---- -- <br /> --'--f--`/�-`�`f-� ..� - �-- -- <br /> -- --- '� / ;� 7 ':� I <br /> - -�_a- - <br /> - -- - - ------ . <br /> , ----- - - � - -- -- - <br /> TOTAL <br /> REMARKS: � <br /> _.__--___. -_-_ _ _.._. __ _ . _.. . _. _.- . __ . __ ._ . . _ __ . _ _. ___ .--.. _ _ ______ .-\.—•_ <br />