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APPL. �33 J�q CITY OF EVERETT SERVICE ^ �i 1 <br /> ' No, / ORDER NO. '� �.� Ci <br /> APPLICATION FOR WATER SERVICE /�I Q''q' 7 / <br /> � FI%ED � DATEti'"�fi� '�__19� <br /> _i'� <br /> � DEPOSIT s O O No�� — <br /> SERVICE (BY/A�OUREBB)�_g-i��/���BLK._ LOT�ADD.�" "'ag^�'sE <br /> OWNER�(� /� ' �2 CONTRACTOR <br /> n <br /> INSTALL�L3�METEREO SERVICE--- __ __ _-----_ <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCONDANCE WITH TkiE //Q�� <br /> OqDINANCES AND POUCIES OF THE WATER DEPARTMENT NOW EXI5T1!1' �� � —� ` <br /> OR AS SAME MAY BE HEREAFTER CH�NGED. elcneo: X ��j�� - _ .�.� <br /> MATERIALB w IN 1 IN. � 2 IN. I � PRICE AMOUNT <br /> PIPE � �� COPPER•- GALV.••STEEL �6 _I —�� _ <br /> CORPORATION_�lSQGS � � _ <br /> CURB COCK OT ' I <br /> SERVICE BO% PLASTIC__C I _ J I __ <br /> METER VALVE <br /> METER No. TYPE: I *f _ <br /> METER BOX CONCRETE SMALL LARGE <br /> ��.�f' !`�+�. � �_I --_ _ <br /> :# isL�� w�rQ_ so/rc�� _� --I— — _ — <br /> �,(lw.�x ���s fl���oo_!bs I <br /> rS,CG'z6 ---- �I—�—_I �I— <br /> � <br /> ON <br /> DATE INSTALLED: � .��! --(fj� � QpF SUB TOTAL <br /> r� lJ <br /> COOE I LA130R ANO EOt11PMEN f RFNTGL HOUfi3 RATE <br /> _ . ��_I N� <br /> �JKG���I� /l <br /> M�2 ii <br /> — —f_c�—_ !!/--�� ,,— -- — <br /> �7-��6/-— -� ��o Z I-��� <br /> . —� ------- -��S_D� �_ <br /> —� — -- -- - -----�— <br /> TOTAL I <br /> REMARKS: <br />