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APPL. �� 77 A/' CITY OF EVERETT sERVICE N° 6 9 9 8 <br />No. � ���BLQ ORDER <br />APPLICATION FOR WATER SERVICE q' <br />� FIXED DATE_L` �� —18� <br />(o O � W. O. <br />� DEPI�SIT s No. � <br />SERVICE (OYADnR[as1 ��� r � ✓ �\ �t�--�'�- "'�=� ELK._ LOT_ AOD.— <br />OWNER�G ( �P�4� CONTRACTOR <br />� _F�I T <br />INSTALI- / �METERED SERVI � G � � a" <br />I HEREB`f APPLY FOR THE UEE OF WA7ER IN ACCORDANCE WITH THE <br />ORDINANCES AND POIICIES Oi THE WATEF DEPANTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. BlcHeo:%. ___—_ <br />plpE M COPPER •- GALV. •- STEEL � 1N ''N I Z'N I I I Pp1GE <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METEi. VNLVE <br />METER No. <br />M�TER BOX <br />OT <br />PLASTIC •• C I <br />—_ TVPE: _- __ � �i <br />CONCRETE SMALL LARGE <br />Will b? taken on service <br />app ica ions svrt iout a <br />R�..I_,ilo .T�A;�Vff?Ftv:�ZOil3v��5 <br />DATE INSTALLED: <br />COOE I <br />REMARKS: <br />I � ON <br />� OFF <br />LABOR AND EOUIPMENfRENTAI <br />� <br />SUB YOTAL <br />HOURS � pATE <br />rJ�.+14S��t£sC��J7�'*J �ITJ r <br />T07AL <br />�MOUNT <br />