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APPL r�?(,(��/ �/ CITY OF EVERETT SERVICE <br /> N�� �� ORDER �1� s `�IJ <br /> APPLICATION FOR WATER SERVICE ��,� / `�(1 o(Y-; <br /> � FIXED �E.�v�� � C�, c �I���,�rl- r\c� DATE—_�(.�%18��-l- <br /> � DEPOSIT s ��� ��-_ I�'_Q'`� W.O. <br /> No._ <br /> lr�'� � r.�� � ��?c��,��' <br /> 9ERVICE ��� no/r cu� / BLK.. LOT ADD. <br /> OWNE -� I/ _-� � �J/ _ CONTRACTOR �-�' �CIP� <br /> ��� �� FIA� T __ <br /> INSTAL " METER��VICE�__ <br /> I HEREBY APPLy FOR THE I15E OF WATER- IN ACCOIiD�NCE WITH THE ��` Q <br /> ORDINANCES AND POLICIES OF THE WATER DEPARiMENT NOW E%ISTING V�A.11^ y�,� �� <br /> OR AS SAME MAY BE MEREAFTER CHANGED, eicHcp: % �Jui /v� - <br /> rr' <br /> M�TERIALB IG IN. � IN, I � ��• I � PRICE AMOUNT <br /> PIPE C � — ' � <br /> CORPORATION ��/ � DO�/ / � �� � <br /> E��- � {— L_ --I <br /> CURB COCK OT �j�' j„11' J � —i I � — <br /> �L/S_�__-_- <br /> SERVICE BOX PLASTIC -- C � I I <br /> METER VAWE � l4c`rF '��Q �Q_ _��_ ____ __ _ <br /> /7 -CJ-{- <br /> METER No. R:�-! �_.-.. TVPE:IX��_�.Q�I. 's _.— -_ _-- - ___ _-_ -__ _-__ <br /> METER BOX CONCRETE SMALL LARGE <br /> � CTION � I_ — <br /> n senAea � —� <br /> �u vii_ ��An3D1 j —j — — <br /> � -- � I �— —— <br /> � <br /> � � � <br /> _ / I ON <br /> DATE INSTALLED: I��z - � OFF � SUB TOTAL <br /> i <br /> COOE I LADOp ANDEOUIPMENfRENTAL HOUR9 pATE <br /> �' -���' �, �l� -- -�`JA:IIf� �_- <br /> s ,u_,��_:�I <br /> ' -��t � -- <br /> --- ��.�� i — - <br /> i -- — <br /> —i i <br /> _ � -- --�- -- <br /> � TOTAL <br /> REMARKS: <br />