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APPL. i 3ERVICE C '� <br /> No. oZS'J73 CITY OF EVERETT ORDER NO. � v 3 <br /> APPLICATION FOR WATER SERVICE � p/ <br /> � FI%ED DATE� ' �3 —iG� <br /> � DErOlIT �Q � Na�• _ <br /> SERVICEcwwoo�un� .�X� � v BLK._ LOT�����4DD�'"-�___-���� <br /> OWNE �«4�� CONTRACTOR <br /> �J F <br /> INSTAL J �ED SERVICE _ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOROANCE WI7H THE � /� <br /> ORDINANCES AND POLICIES OF THE W�TER DEPARTMENT NOW E%IS71NG •. /� <br /> OR AS S�ME MAY BE HEREAFTER CNANGED. •�cruco: X Y�O <br /> MATERI�L9 )41N. � IN. � 2 IN. I I PA�CE I�MOUNT <br /> PIPE COPPER•• ;ALV.--STEEL — �� — <br /> CORPORATION <br /> GURB COCK OT I I <br /> SERVICE BOX PLASTIC -- C 1 I <br /> METER VALVE _ <br /> METER No. _ TYPE: _I �!S _� __ _ _ _ <br /> METER BOX GONCRETE SMALL LARGE <br /> __—I --_— <br /> I <br /> __I _ — <br /> I <br /> I <br /> I I I <br /> ON <br /> DATE INSTALLED: �t1� � OFF SUB TOTAL <br /> l <br /> COO[ I LABOR AND EOUIPMEN��RENTAL I MOURS PAT[ � <br /> '—� C�7�L'f��-%a �P � <br /> I � <br /> I �-- --- - <br /> ; ! �_;�� 71�/- � - - <br /> i I <br /> I <br /> -� - � <br /> TOTAL <br /> REMARKS: <br />