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APPL./'1 �l � 6 <br />na "S� �T��v <br />� FIXED <br />� DEPOSIT f �^ �,j <br />eERVICE cer <br />SERVIGE <br />CLTY O� EVERETT ORDER NO. <br />APPLICATION FnR WATER SERVICE -�J <br />DATI���� f 9� � <br />/� <br />W. O. �/ <br />No. - <br />�7 ///��/JJJ�/n/ �� ,� ���° 1�20� _ /S� �X' <br />- U w4iG�lL{�y�/� •� � BLK._ LOT ADD. - <br />OWNER ��1�`r-a-7_ __CONTRACTUR <br />INSTALL� �/ ETERED 5 --- - -- — - <br />I HEREBY APPLY FOR 7HE USE OF WA7ER IN ACCOROANCE WITH THE ///`, ,,,/ �/ <br />OHDINANCES AND POLICIES OF THE WATER OEPAR�fMENT NOW E%ISTING sicHeo: XW��'�V--,- �a����`"-� <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />— 4' IN.� I IN.' 21N. � � PRICE �MOUNT <br />MATEPIALS / I <br />PIPF_ T%c __ COPPER--GALV.--STEEL _ � I__ _ � — <br />CORPOR 4J / ,j1f,l—_._. — l �__I�-- �.__-_ - <br />CURB COCK OT � I— <br />SERVICE BOX PLASTIC •- C� I — —� <br />METER VALVE --- _.____ __— / " ----- <br />METER No. "_TYPE:�tRI `f — � — _— <br />_-�� �� -- - f_ <br />�METER BOX� CONCRET �57� SMALL LARGE _ __ ,_ <br />� — - _— I I <br />/ �il G •� � — 7�fB T�c i't�� n D� �— --- —' —�--`— I — — <br />_--.tl-Yrvz�--------I - I I� I I I <br />�� � <br />rt� ON <br />(y K� <br />DA7E INSTALLED: /i - 7- J� � �FF <br />V <br />COOE I L�BOR ANDEOUIPMENfRENTAI <br />I-___ .. __- ` <br />�"-- ___-. � <br />II - _ <br />� -/�--��s��- <br />—� - ------- <br />REMARKS: <br />SUB TOTAL <br />MOUHS� RATE <br />TOTAL <br />