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ArPL. S[RVICE p <br /> No. Z(F�{7 CITY OF EVERETT ORDER N_ J 2 5 'I <br /> APPLICATION FOR WATER SERVICE ��i p � <br /> �FIXED CL TO �'OSTING��� DATE�J��fY1�. <br /> %� <br /> � � DEPOlIT �as N O. <br /> SERV:CEt�v�oo�u�)— II�Q�O � IS�I�✓P f�L BLK._ L071�ADD/l(+�l/LdpJ-L <br /> OWN! � `� _CONTRACTOR <br /> FLA �G� � �� — <br /> INSTAL�_ pED SERVICE _ <br /> 1 HEREBY APPLY FOR 7NE USE OF WATER IN ACCONDANCE WITN THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMEN7 NOW EXISTING <br /> OR AS SAME MAY 6E HEREAFTER CHANGED. •�cNco: X _ _ __ __ <br /> M�TCNIAL� � IN. 1 IN. � 2 IN. � PqKE :.MOUNT <br /> PIPE COPPER•• GALV.•-STEEL _— _�� � <br /> CORPORATION <br /> CURB COCK OT I I I <br /> SERVICE BOX PLASTIC •• C I I <br /> METER VALVE <br /> METER No. �J��� _ _ 7YPE: � ��j�l��I-�I_. -- -- <br /> METER BOX CONCRETE SMALL LARGE __I _I_ _ <br /> - -- � -�!- <br /> - -� �-�_ -- <br /> -i--- -- - �-- <br /> i � i <br /> � ON <br /> DATE INSTALLED: � ppp SUB TOTAL <br /> COD[ I �— LA80R ANO EQUIPMENf RENTIIL I NOUR! q�TE <br /> I I <br /> I =_'__— .��� T.�II L;"71(114I <br /> � � T� .., "_ _' � <br /> - - -���-_-=-- � - -- <br /> i � F] )Iln",� � �'��a'.. <br /> --I ------ - ---:.Gi.�;i!':',� I. I — <br /> —i --}— <br /> � <br /> TOTAL <br /> REMARKS: _ �� <br /> � <br />