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ArrL����O CI'r1f OF�EVERETT senvice -� � (� <br /> NO. -' ORDER O. J�_ � V <br /> APPLICATION FOR WATER SERVICE <br /> � FIXED � DA ��—19� <br /> � DEPOSIT s 0 / W.O. <br /> NO. <br /> BERYICE (�rAuoenn�a BLK.___LOT / ADD.— <br /> OWNE ' � CO TRACTOR <br /> ' �i�i� <br /> INSTAL_�T METERED 3ERVICF <br /> I HERE9Y APPLY FOR THE USE OF WATER IN ACCORD�NCE WITH THE ��q����_ <br /> ORDINANCl.4 AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING �✓�✓\ <br /> OR AS SAME MAY BE HEREAPTER CNANGED. elcNeo: X <br /> MAT[RIALS � IN. 1 IN. � 2 IN. � PNICE ANOUNT <br /> PIPE GOPPER--GALV.--STEEL � <br /> CORPORATION <br /> CURB GOCK OT I <br /> SERYICE BOX� PLASTIC -- C 1 I <br /> METER VALVE _ ____ <br /> METER No. TVPE: � 3f <br /> _I_ �� <br /> METER BOX GONCRETE SMALL LARGE <br /> — I'_— —�__ __ <br /> I <br /> — �_— — <br /> I <br /> —�I <br /> It+�ON <br /> �o� <br /> DATE INSTALLED: //_ 2 ., _ 7p � OFF SUB TOTAL � <br /> / I <br /> COO! � LABOH ANO EOt11PMEN'f RENTAL I MOlIRS RATE I <br /> I _ I <br /> I • I <br /> -i /r I - ' <br /> i -� � <br /> I <br /> I <br /> TOTAL <br /> REMARKS: INSTNGf..d-/J �� GONT�1/��OT - D,P�_V/� Uy G�YC, b� � <br />