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qppL. � SERVICE <br /> yo ���� 1� CITY OF EVERETT ORDER N�0J. � <br /> �APPLICATION FOR VJATEft SERVICE ���5�r7�3 p� <br /> _ .tgi � <br /> � FIXEG �� <br /> DEPOS'IT }� �� W�, <br /> ❑ S �V NO.-"'_-_- - __--- <br /> -_ �J/ <br /> ' SERVICE (Br noonE§s�l����`-"'-4__�c:(C�S.I_tv'�.L -----_-_BLK.'__LGT./__O.:J(O�iL_��- <br /> 4WNER���_-����-����- .-�fU.-___CONTRACTOR___-__ � <br /> � FL <br /> WSTALL�/�_ ETERED SERVICE-_ _ . _ —__--- - ---- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORUANCE WITH THE <br /> OHDINANCES AND POLICIES OF TNE WATER DEPARTMENT NOW EXI57'ING �,C (� <br /> OF AS SAME MAY DE HEREAFTER CHANGED, elcN ._- _ ____.-__---. ---- <br /> MAT[RIALs 3i IN. � �N. 1 2��N• �' PqILE AMOUNT <br /> l�IpE COPPER--GALV.-•STEEL / <br /> COFPOR.ITION —�' <br /> CURB COCK OT I <br /> SERVICE BOX PLASTIC -- C 1 _ I _ _I_ _ _ <br /> � <br /> METER VAWE __._'___ .._' ._'-'__- __ '. _ _ I '_-_ --- <br /> METER No. TYPE: _ I )S _ __ __ _ _ _ _ <br /> METER BOX CONCRETE � SMALL LARGE <br /> _- .- __ �-___-__ — <br /> _ I _ - _ <br /> ' '_I ' -- <br /> _ -_I � --- -_ <br /> —__� _I_-_ - <br /> - __- I _i _..I- .-_-__ _ <br /> ON <br /> DATE INSTALLED: / ....l� - r 2 - � �OFF _ SUB TOTAL <br /> C i - _ <br /> CODE ' LABURANOEQUIPMENfRENTAL NOOR9 N�TE <br /> —___..___�—��—I / �/�l. —_ — <br /> --, ---- -- - _ t� /�..�I � " -- -- -- <br /> -- --- - - ---- 4�-z�/ I� '' _ <br /> � � <br /> - - - ��' -���Q -- -- -I - - -- _-, <br /> - - - -- -- -- -- - - - --� - - <br /> TOTAL I <br /> RFr,fAK{:5. .___. . . .. <br />