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APPL. �s� `f � CITY OF EVERETT gERVIGE (� ^ <br /> No. ORDER NO. '�� C1 �� H <br /> APPLICATION FOR WATER SERVICE p� <br /> � FIXED �i CA�JQj�(��vr�a- a0�� fOfL� <br /> � DEP051Ts `jo No"• <br /> � \ � <br /> SERVICE (�VA 110a) q a� �—BLK._ LOT ADC1. <br /> OWNE � a/ S�.� CONTRAC70R <br /> r� �� / <br /> INSTALL.�L--M��EyT�ERED SERVICE— <br /> I HEREBY APPLY FOR 7HE USE OF WA7ER IN '��CORDANCE WITH THE <br /> ORDINANCES 11ND POLICIES OF THE WATER OEPARTMENT NOW EXISTING n. �_ ���2.L <br /> OR AS SI1ME MAY BE HEREAF7ER CHANGED. eicHeo: X /�_IC�YL �/ -- <br /> M�TERIAIe 34 IN. 1 IN. � 2 IN. � � PRICE AMOUNT <br /> PIPE COPPER--GALV.•- STEEL I <br /> CORPORATION __C <br /> CURB COCK OT i I <br /> SERVICE BOX PLASTIC •• C 1 I <br /> METER VALVE _ <br /> METER No. _ TYPE: _ I fS _ _ __ __ _ <br /> METER 80X CONCRETE SMALL LARGE <br /> — —_ — _I —�� <br /> - I— <br /> --- '_ I_ �— — <br /> I I I <br /> ON <br /> DA7E INSTALLED: � Q�2Gr.X1'C I OFF SUB :TAL <br /> "O J <br /> COD[ � LABOp �NO EOUIPMEN'fRENTAL MOURS HATE <br /> I ������_— — <br /> � I <br /> � �'���- -�--/ -- �-- -- <br /> - - i <br /> _ i <br /> -� --1-- - - <br /> TOTAL <br /> REMARKS: <br />