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9PP�" `/ ��7� � �+ ' A�PPLICATION FOR SERVICE SERVICE N_ 1 3 6 i <br /> No. � <br /> CITY OF EVERETT WATER DEPT. ORDER <br /> � FIXED �E�rttt.•.c� �ATE ��-�__��o_ <br /> if" <br /> � DEPOSIT s <br /> W.O. <br /> No. <br /> ' -f-- —_ <br /> SERVICE �eY ADORese7__ � ��� �:'-y.-L*v BLK. LOT ADD. <br /> OWNER ____ CONTRACTOR._ <br /> FLAT p��—� /�' <br /> INSTAL� METERED SERVICE �'C'7 �-�t -aC'�-s�zl <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN�F'DANCE W�� ITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTME�VT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED, slcNco: X <br /> MqTER1AL5 Yi IN.I f IN. I 2 �N• I�^__ PRICE AMOUNT <br /> PIPE �OPPER;-GALV..-STEEL � __ 1! .�� I�� <br /> CORPORATION � in� : �i I <br /> CURB COCK OT � — I — <br /> I_ II I <br /> SERVICE BOX �PLASTIC�-- C I I �I_�I� <br /> METER VALVE <br /> METER No. TYPE: I � _ -- �--� <br /> METER BOX CONCRETE SMALL LARGE _ T <br /> — I J I <br /> - _� I I__ <br /> � I I <br /> � _ I <br /> ' ' I I <br /> DATE INSTALLED: � /�. . . • ' '�I N� ' . <br /> �OFF � .i�� � � SUB TOTAL � h <br /> co�E �i <br /> I LA60R ANO [OUIPM[NTRENTAL I HOURG RATE <br /> — � ��it. . ! — • '� � S-� / <br /> I 7�—�- — ' — � <br /> � fl�l�.�� [ �� _ � �i 7 r. I� i �� <br /> I � �_ �, ,/ _Zi- <br /> - -- -- � i' -- <br /> � -- ---- - _ �-- - ,i--� <br /> - i -i I <br /> Torn� ao� ° Q <br /> REMARKS: �� - <br /> I . '. . _ �-- _y�__ •^ �I ,�. .� �.' t; - �- <br />