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, <br /> APPL��,��� � r SERVICE '� . n I <br /> No , � CIT\ OF EVERETT ORDER NO. 't <br /> APPLICATION FOR WATER SCRV�CE <br /> 'i � FIXEU DA�!��=£�-19� <br /> o (� <br /> � D6POSIT f �3s ¢� No�— <br /> /' <br /> ��-� � � � ! � � S� /oai P -�— <br /> SERVIGE IB�DOAEeet_1_/�s1�=� '!-�-��.�--� —BLK._�LOT ADq�y.—���-�� J�. <br /> OWNERZ..-�j^=�z�—�_--�{_�'� JL.:�L:/f/_GONTRAG70R _ <br /> /" � \- FLA7� <br /> INSTALL'�METERED SERVICE—_ _. —__ . <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOROANCE WITH THE �� � �� /�` <br /> ORDINANCES AND POLICIES OF THE WATEA OEPARTMENT NOW EXISTING il <br /> OR AS SAME MAY BE MEflEAFTER CNANGED. eicr+eo: % , _C�--:._.— ___—_�-- <br /> MATERIALS S'� IN.'L�N. i21N. � I PRICE AMOUNT <br /> PIPE • 1`_ . COPPER--GALV.-- STEEL � I__ `_ I(�I_ _ <br /> CORPORATION __ ___ ___�I_ _I _I �_ _ <br /> CURB COCK OT _�l_I I <br /> SERVICE BOX __. �PLASTIC -_CI I I . <br /> METER VALVE <br /> _. __—_._ _. . ._ _ .. _ - ._. ..— _- - _—_ _—_ <br /> i ——-- <br /> METER No. TYPE: I __ _ __ _ __ <br /> METER BOX CONCRETE SMALL LARGE ^ � I <br /> ___ <br /> F�; t,fl�_(���.s,-�_ — __ I� --� — !-- <br /> �f��3— — — — -----�z --� !— — — <br /> — -- -- -- —� �_ -- <br /> --� � — <br /> _ —i-- <br /> / i ON <br /> DATE INSTALLED: ��� �/ ��!� I � OFF SUB TOTAL <br /> / V <br /> COOE 'i LABORAND EOUIPMENfPENTGL HOUFS RATE <br /> ' -- —_—S.�"�� �2 r1R� -- — <br /> � -- — ------ —C�-1�a1��al.k!��,- --- - <br /> � ��ZIJ_��--'`- - _ <br /> - - <br /> � �73 ���-__ -_ ---� -- <br /> � � - - <br /> - - - � <br /> - - - -- - - =�- <br /> - , --- �- - - . , <br /> � TOTAL <br /> REMARKS: <br />