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APPL. BERVICE <br /> N�• ��U CITY tiF EVERETT r RDER NO. �t J ( 3 <br /> AP'��ICATION FOfi ;'ATER SERVICE <br /> � FIXED . DATE_����_�p� <br /> � DEWs1T� W � <br /> i ` No.—____�_ <br /> SERVICEt�veocenq �nZ� O ��h! s S�1(h.! <br /> � �_BLK.___LOT �� qDD.� <br /> OWNER FLAT CON7RACTOR�� I�J �j�/,���/.9 <br /> INSTAL� RED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORCANCE WITH TNE <br /> ORDINANCES ANU POLICIES OF THE WATER DEPARTMENT NOW EXISTING /,J <br /> OR AS SAME MAY BE HEREAFTER CH�NGED. elcN[o:X _ ,��-� ��✓/ <br /> MATERIAL! Si IN. 1 IN. I = �^• �I___�� PpICE �MOUNT <br /> P�PE ��-'.)PPER-•GALV.•-STEEL —� <br /> CORPORATION - <br /> CURB GOCK OT . - <br /> bERVICE BOX PL�STIC -- C I I <br /> METER VALVE - <br /> METER No. �_ _ 7VPE: ���— I �� ---- <br /> METHR BOX CONCRETE SMALL LARGE � � <br /> - —i —�_ <br /> � <br /> - I <br /> �— <br /> I I I <br /> ON <br /> DA7E {NSTALLED: �D� q� � �OFF SU9 70TAL <br /> CODE I LABOR wND EpUIPMENf qENtAL � HOUp9 pATQ <br /> � ��yl'Ra�i�_� <br /> � -- � - <br /> ; -�'�--�����- -- i-- -- - - <br /> ' --- i <br /> - i - _ _�- -- _ - <br /> TOTAL <br /> REMARKS: <br />