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APPL.�/_n� SERVICE <br /> No. ((f•j CITY OF EVERETT ORDER � <br /> APPLICATION FOR WATER SERVICE N���7 3,��!�r, <br /> (xFIXED / DATE_ 191111 <br /> /`/ DEPOSIT . //7' / �— NoO._ <br /> � =-Y�� <br /> 9ERVICEISYADDnEu) ��`�J �(lS.�_�BLK.. `LOT�ADD/.7.��(- — <br /> '� ----aL�L-1�-�.i 1.!L61l.L_�Jf <br /> OWNE _ CONTRACTOR _ <br /> �� L <br /> INSTAL METERED SERVIGE—_--__— _--______ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � —' � <br /> OROINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING �! �/�� � <br /> OR AS SAME MAY BE HERE�FTER CHANGED. BIGNco: X ����_____'�_ _ <br /> MATERULS �' IN. 1 IN. � 2 IN. � I I PHIGE AMOUNT <br /> � I I <br /> PIPE COPPER••GALV.-- STEEL _ _� <br /> GORPORA710N _ __I� _ <br /> GURB GOCK C�T � <br /> SERVICE BOX PLASTIC •• C I I <br /> METER VALVE <br /> METER NO. TVPE: ____' '_I'_S___ ___ �— '_ --'- <br /> METER BOX CONCRETE SMALL LARGE <br /> —_ _— __—I _�i'�'-_ — <br /> I I <br /> __I _ <br /> — --I'—_ �— <br /> I <br /> � � � I <br /> � �(x ON <br /> � DA7E INSTALLED: /�� /O ��Q � OFF � SUB TOTAL <br /> (. CJ <br /> COOE I LABONANO EOUIPMENfRENTAL MOURS pATE <br /> �i� �� --I <br /> � <br /> - - �- -- <br /> i ----- I - <br /> � � <br /> TOTAL <br /> REMARKS: <br />