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ArPL. % � '� a I <br />No. ot <br />� FIXED <br />CD <br />� oerosir �('j <br />CITY OF EVERETT <br />APPLICATION FOR WATER S�R�ICE <br />ORDER E NO. � �� � �+ <br />DATE.�u�[-�� p� <br />w. o. <br />f�,",l .f PQ ✓ i �A cv <br />iC�v// �n�n, '7� noo.—_.P�quli <br />SERVICE c�Y wDDnnN—OS.L4J��7 �� ��'��=��� H Q_—BLK._—R�LOT ,/ <br />OWNER 1 J1 `f' p`� / �� ln1L —CONTRACTOR `-' �n��d�* /���� <br />,��y)� F � ' <br />INSTALL_L— ETERED $ERVIGE -- <br />� / <br />I NEREBY APPLY FOfl THE USE OF W�TER IN ACCOROANCE WITH THE ����G <br />ORDINANCES AND POLICIES OF THE W�TER DEPARTMENT NOW EXISTING g�GNED: X. I� ---��(�`�T-�"'—�-- <br />OR 115 SAME MAY BE HEREAFTER CHANGED. - <br />iG IN. t IN. � 2 IN. � I ICE /.MPUNT <br />M/TEHIwLS __�__� �I �I��-��� <br />�i�E �'Lf <br />CORPORATION <br />GURB COCK <br />SERVICE fi0% <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />CI <br />, L <br />-----� �— TYPE: I bS <br />GONCRETE SMALL �LAFf'GE <br />� <br />DM'E INSTALLED: O�—OS'�� I/j� OFF <br />COOC I _ LABOR AND EOUIPMENTRENTAL <br />I (�1�,7_v_�Ul---- <br />� ----- --- <br />� -- -- <br />I -- -- <br />I - <br />REMARKS: <br />SUB TOTAL <br />NOURS � RATE <br />