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, <br /> APP�l�-y�Q� � / CITV C1F EVERETT SERVICE � c� �- C � <br /> No: -� ORDER NO. 7 .. �J J <br /> APPLICATION FOR WATER SERVICE `� <br /> � FIXED DATE.�--_19. 'L ' <br /> .� <br /> � DEPOSIT s yj -�� � No�• _ <br /> //�' � .//S/L� �'/i� � j✓ �./ <br /> SERVICE (�wooa��1-l-J �� �' A�f- .�r�C L'-�.,�- ��=BLK.���� LOT���D�; t{�����✓!-' � <br /> J <br /> OWNER .�--r'����'��- ,C-�.[-v''z� CONTRACTOR <br /> i FLA7' <br /> INSTAL �TEHED SERVICF — <br /> �''— _-.._ _ illJ <br /> I HEREBY APPLY FOR THE USE OF W�TER IN ACCOFDANCE WITH THE <br /> ORDINANCES AND POIICIES OF THE WATER DEPARTMENT NOW EXISTING �-� <br /> OR AS S�ME M�Y BE HEREAFTER CHANGED. elcr+eo: X . <br /> MAiEalAL6 ' �i IN. I IN. � 3 IN. I PNICE AMOUNT <br /> ' PIPE Q,S� iG COPPER-- GALV.•-STEEL �� �_ <br /> CORPORATiON /-�I SOO � _ I _I� <br /> GURB rpCK OT ( � <br /> SERVICE BO%� PLASTIC -- C � I <br /> METERVALVE K �/ C" � I <br /> METER No. �p JbH I-IQS 1 �tGTVPE: ',4�2Y` I •S — � — --- — <br /> METER BOX CONCRETE IQS/,c SMALL LARGF_ __ <br /> —.� <br /> N 15073 � � <br /> R _ 3 — �I — <br /> 5 00 / 5 C/ n.i�! �rA^� ${ec -- --� — <br /> � <br /> -- --I — <br /> � � � <br /> ON <br /> DATE INSTALLED: g �5 GD � pFF SUB TOTAL <br /> O <br /> CODE I LABOq AND EOUIPMENfRENTAL MOURS R�TE <br /> � S .S�>C s3 N . <br /> i — �7 �„���s�3 �� _ <br /> --I �J /J� arke �l U �i -- <br /> � �� ���_0--� — — <br /> � - �Z ��a r� <br /> � 37Z s3 �� <br /> I � 2� 1 5 " <br /> TOTAL <br /> REMARKS: <br /> � <br />