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AF.,��. _ 19954 APPLICATION FOR SERVICE SERVICEj1�° ] ff <br /> No. ' ' ORDER <br /> ����.�-_': CITY OF EVERETT WATER DEPT. , �. <br /> t�y <br /> �' FIXED DATE�,'__�_—�gl_�� <br /> �t! <br /> � DEPOSIT 5 C.`U. _ � W. O. <br /> No._. <br /> i p i ' ' , / �� <br /> SERVICEIBYADDRE66) �lPrC'7 ��ll,�)l.iC...'t_"�_�'G;.�. �;r.�i-:��C.�LOT.�DD."`-�=�CS�i,('i'.�:1 <br /> � <br /> f. / <br /> OWNER f���� C.�'-1 f�-G� C <br /> ��-- CONTRACTOR __ +C��+— � <br /> J FLAT �, <br /> INSTALI_��" ME?LE�pSERVICE:C i <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANGE '.YITH THE � ! <br /> ORDII.ANCES AN� POLICIES OF THE WATER DEPARTMENT NOW E%ISTING � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. stcneo: X_, �____ _ <br /> i. .—____ ._ <br /> MATERIALs l!� IN_� � IN. � 2 �N. / �-� Pfi�C[ AMOUNT <br /> P�PE COPPER-- GALV.•- STGEL _I �___I_ I <br /> CORPORATION _ I I i�� I <br /> CURB COCK OT I II I <br /> SERVICE BOX pLASTIC -- C 1 I II I <br /> �IETER VAWE _ — I -{I� <br /> _METER No. TYPE: __I—_6 -- --_ -- I _..._ <br /> METER BOX CC�NCRETE SMALL LARGE I <br /> - - �- � _� I <br /> _ — — — —� i <br /> — � � <br /> —— , -- —.. <br /> - --- � i <br /> � � � � � � <br /> ❑ aN I <br /> D:.�e INSTALLED: � pFF SUO TOTAL <br /> CODE � �qpOR ANO EqUIFMEVT(iCNTAL � I10UR3 RAT[ <br /> _ I _ — — — 1 — ( I <br /> I -- � I! i- <br /> - ' - - - -�- ---,i I - <br /> - ----- _ .- i - li I <br /> '-- _l ��i-I <br /> � - --- - � - --;�- <br /> n/ �� <br /> TOTAL � <br /> REMARKS: S@TV:LCC �:7St711�C� �Jf }�ZCjC'T' <br /> 1� . �� —_ ._ _- --- <br /> -- <br />