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APPL. n�� CITY OF EVERETT SERVICE .� ..� �,� � <br /> ry7p +�'Jo / ORDER NO. , - <br /> J ,� ��t' APPLICATION FOR 1NATER SERVICE ' <br /> � FIXED � D a� 18�� <br /> � W. O. <br /> � DEPO5IT S �O No.—_ ---_ <br /> 5ERVICE (er�oo a31�¢—�--�_ !�- s'—BLK._ LOT�—�E!�_�— <br /> OWNER_,��(,.�—���-��—CONTRAGTOR__ ---__ d <br /> � <br /> INSTAL�� METERED SERVICE_.--._-. - -- ---— <br /> I HEREBY APPLY FOR THE 115E OF WATER IN ��:CORU�NCE WITH THE �J <br /> OpDINANCES AND POLICIES OF THE WATER DEP�RTMCNT NOW EXISTING '� l� <br /> OR AS SAME MAY DE NEREAFTER CHANGED. 81cr+cG�7C <br /> MATER�ALS I Y� IN. 1 IN. I IN. I � I PRICE AMOUNT <br /> PIPE COPPER-- GALV, �-STEEL /{ L I <br /> CORPORATION �--�-'�------ '--��----I .__'__ � — '_ <br /> CURB COCK OT I <br /> SERVICE BOX PLASTIC -- C 1 I ' � � ' <br /> METER VALVE _,_. _. ..' __' __ _____ .. <br /> METER No. TYPE: I •{ _ _ <br /> METER BOX GONCRETE SMALL LARGE � <br /> _—I � __. _ . _ <br /> — ( ; <br /> — _ '_— _ _ — � `_ <br /> -- I —_. . -.._. ____ — C7 C <br /> -- - � i I--��—�- — --- � � <br /> ON = <br /> DATE INSTALLED: /-� 3 '��� I � OFF SUB TOTAL <br /> p ' <br /> COOE � L��OR ANO EOUIPMEN! RENiAI I HOOPS PATE D � <br /> r <br /> J I J_Hf� � <br /> ' _ --- - S• �. -- � � <br /> I _ k•vl,oyr2_-� ��- — - o ; <br /> ��IIl_' I �� <br /> � <br /> ---- _ -- -- <br /> _ _ - �-5� — c <br /> _ _ _-- --�--- � <br /> —� --- - -- -- -------j— -- — — =� <br /> c <br /> . TOTAL � <br /> NEMARKS: <br />