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r�ioP�� �¢� CITY OF EVERETT ORDEIRE NO. � <br />APPLICATION FOR WATER SERVICE � � �� <br />� FIXED �� DATE_ �/6 __�g�U <br />Gjy0EPO51T s �j_J�'J� W. O. <br />— No.__-_ <br />� �7 <br />SERVICE car �ooneo�� 5 / �� � /!> <br />j�, � �7 -I ��'�� —BLK._ LOT ADD. <br />OWNIER��-> >�_ys/_/�-�/�E�-'{Q�+ __._GONTRACTOR_ <br />�r <br />INSTAL�..ME REDT� SERV-1�__'_ __ ____ _ _______ <br />1 HEflEBY APPLY FOR THE USE OF WATER IN ACCORD�NCE WITH TNE �� <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING � /1 // /�l _Er <br />OR AS SAME MAY BE HEREAFTER CHANGED. e�cH[o:%'��_ -fL�1=-41'?��. `,,.t'�-�____ _ <br />MATEHIALS '�' IN.I � �N. I 2 IN. � PRIGE � AMDONT <br />PIPE � LG_ COPPER.-GALV.--STEEL S���I I�—_'I�� <br />L_ _ <br />CORPORATION �"� � 5 � � 5 � � � i <br />CURB COCK OT <br />SERV�CE BOX PLASTIC -. C 1 <br />.-___ . _ __. " <br />METER VAW[ _K V G � � � <br />— _ . --Ii: ctS S i - <br />METER NO. �(�g� TYPE:.Q�9�af � �, <br />METER BOX ONCRETE 0(� SMALL LARGE <br />�� _ _- _ _ <br />lf 15� ]� - <br />--�` � 5 � �- - - - <br />--.5� o ��'s—�� _<aov�s t. _ <br />hE ON <br />DATE INSTALLED: � � � f� � � OFF <br />CODE I LAOOq ANO EOUIPMENf PFNTAI <br />'f%/eci D/� __Sc_/�6/�'P <br />� - - - - � � -- -- • <br />/ai,�,/ ty �Yoi/ Q G1C��E <br />-_; --�,/�,�q, %,�_- .� 3�� <br />f � � 37Z <br />SI1B TOTAL <br />HOURS RATE <br />-Y/J.� _ _ <br />_-10_ <br />_� <br />-�- -- <br />TOTAL �I <br />REMARKS:iiE`�No��rF�+r_ �_ QE _,s <br />------- � - -fy-F.. %_ ��N-. �-T✓4 L GryT �i- AsOCS �T <br />