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� <br /> ^PP��� � CITY OF EVERETT SERVICE_ ��' "�Q � <br /> No. ����� ORDER NO. �� ��J I .1 <br /> APPL�CATION FOR WATER SERVICE `j� <br /> �1`IXED � / DATE __� _1g_L <br /> � DF_POSIT s(�V•� W'O• <br /> ---/�—�J � �'/ <br /> 3ERVICEIwwODeus1 /� ��—�✓ '�!G��'� �� BLK._ LOT ADD. <br /> . � / <br /> OWNER�L '�'�-� �<<'— CON RAGTOR_ ---_ — <br /> INSTAL�D 5�______ — -- . <br /> 1 HEREBY APP Y 'OR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDIN�NCES ANR POLICIES OF THE WATER DEPARTMENf NOW EXISTING � <br /> OR AS SAME MeY BE HEFEAFTEF CHANGED. eieneo: X -- —._--- -- _. - <br /> MATERIALS _ �'i IN. 1 IN. � 2 IN. I PHIC AMOUNT <br /> PIPE COPPER GAI.V.--STEEL _— �� � <br /> CORPORATION <br /> CURB COCK OT __ I I I <br /> SERVICE BOX PLASTIC - C 1 I <br /> METER VALVE <br /> METER NO. --- TVPE: __.._I •f <br /> METER BOX CONCRETE � SMALL LARGE _ �___ _ _ <br /> . __ — __ I �I — _ <br /> _' __ — I <br /> I �—_ _ <br /> _ _ '—I <br /> _I __ — <br /> _—� _ —__ <br /> _' _--_ _ �I__—I—_I <br /> � ON <br /> DATE INSTALI.ED:�O_� '7 I � OFF SUB TOTAL <br /> COOE � LA60R AND EOUIPMEN(RENTAL I HOURS RATE <br /> I —_—I n — ��. <br /> - _ _–.–.��IZ..�:/�C/. � <br /> I a�lf��.4A/s0 x/ ��_ -- <br /> , I <br /> I [:�' �. i i_ �— -- <br /> _; ;�y-�-� �3G� � <br /> _, _ _______-___ __ �___ <br /> _,- _ ; - <br /> TOTAL <br /> REMl,RKS: <br /> _ —__ �_—_--_____.' . �- <br />