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�. SERVICE ' ��'. � �r <br /> �Pr�. � sb � � CITY OF EVERETT ORDEH NO. <br /> NO• � APPLICATION FOR 1NATEH SERVICE /j� � CL, <br /> DATS'�iq�' �� —19P_�T <br /> // <br /> � FIXED Di� W, O. � <br /> DEPOSIT s O No.----- <br /> ❑ 6-- /�/�7 / /C /�/ A[��,,, <br /> ' y/,y'// MCi'r� A /�-" • .BLK..--LOTd_G_�CH9'� ' �� <br /> SCRVICE (BY�Ap`'pnEBe)-/L�� �-�I ��� " --Y�---- <br /> ! ���'�(L�/ / /k�tliv� CONTRACTOR---- -'-- <br /> OWNER----�1-- t�I-_—_ _—_— <br /> 3/ ��j AT� _ — — <br /> INSTALLyL'� TERED $ERVICE—- - - --- /�� <br /> i <br /> I HEpEBY APPLY FON THE USE OF WATER IN ACCORDANCE WITH TME (�'' —// - - <br /> L c.t <br /> OHOINti:=F.S AN� P^LICIES OF TNE WATER �EPANTMENT NOW EXISTING grorvEm �""�`'�'-- - <br /> OF AS S�ME MAY C: HEPE�.`TEfl CHANGED. pq��g AMOUNT <br /> MAiER1AL5 Li IN. 1 IN. � 2 �N. I I <br /> P�P�_ — COPPER -- GALV.--STEF.L___�l—_I �II _- . <br /> COFPORATION _ — "--- I <br /> � _- —. <br /> CURB COCK _ �T - -- I I _ __ __- � <br /> SERVICE BOX PLASTIC__ C I _ �-� -- " � <br /> _____� _ _ ._. __ -- _-- � <br /> METER VAWE _ ._- _._—___.—_—. _._. I . _ __-- -. _ .. <br /> METER No. _ '. _____ . TYPE: _____ -_--_ �S — __._—' --, .. <br /> METER 00X CONCRETE _ SMAlL IAR..E _ _ -- �---' — <br /> i I —��r__- _ --_ <br /> __-- -�__-- I _ -. <br /> —__ � � :f. <br /> _.I. - -_ -- v i. <br /> _ __-.�I -1 - _ �:j i <br /> � r <br /> �_ --___—" --____��I I I I a ' <br /> � ON -' <br /> I . SUB TOTAL <br /> DATE INSTALLED:'�_2� _ \'>�� OFF <br /> rl HOUHS R�TE �-� � <br /> COOE I LA00R ANO EOUIPMEN f R[NiA�- � -_ -- - <br /> �� I-I _ . _ �'� <br /> I _ _ ___ �/�S���-� -i �% • <br /> _.-- _ -_- - �� • � �rK/U� � 1 (� ✓ <br /> -'.-_ _-._ �--� <br /> —� .� ZI(�_. I � 11 - — —_ _ <br /> '; ����- -- - - -- - - - - = <br /> _ ___ _ <br /> � _ -- -- - --- - -- = <br /> -� --------- --- ;--- -- <br /> -, <br /> I TOTAL <br /> REMARKS: _'_ _-- -_'. -___—._- _.- __—__. - .-__'_. <br />