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Ip ' SERVICE <br />_ . APPL. a�F� / D CITY OF EVERETI ORDER NO. �� �67 <br />NO• APPLICATION FJR WATER SERVICE / <br />p _J�__l� <br />� FIXED <br />p � w. o. <br />� oErosir y 0 � / wo. �/ <br />Q [�dLK.'—_LOT� ���.��Kp�'�� <br />SERVICE tev wonaese� <br />� <br />OWNER y_��'='��--��� '.—I —CONTRACTOR_ <br />INSTAL� �/L�_M� TER� D SERVICF - — <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACLORDANCE WITH THE { <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: X L <br />OR AS SAME MAY BE HEREAFTER CHANGE�. I 1 <br />MATERIALS �� � ��� �I�— <br />� i <br />mv iw C LC. COPPER •- GALV. -- STEEL _f__ <br />CORPORATION__�_-��jQ�. <br />CURB COCY �T <br />SERVICE BOX P�-A`- <br />METER VALVE <br />METER No. <br />METER BOX CONCRETE <br />-_.�50� <br />% /I �nr.il� iti <br />DPT�INSTALLED: <br />—�� <br />GOOE I <br />REMARKS: <br />-• C I <br />TYPE: __ I ' <br />SMALL LARGE <br />Z-I �-!� � S y I � UFF <br />L�BOR AND E0�11PMENT RENTAL <br />0 <br />PRICE �� AMOUNT <br />SUB TOTAL <br />HOUPS � FlATE <br />TOTAL <br />y �'�+7 <br />n `� <br />C�7 <br />O � <br />� H <br />O Z <br />Cy� y <br />t' S <br />� � <br />O � <br />[� N <br />� <br />U! <br />� <br />• � <br />� <br />� <br />H <br />� <br />� <br />� <br />