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� <br /> �..�, <br /> ' APPC�� c� / � CITV QF EVERETT SERVICE ;��B. Ll '� ' <br /> No. ORDER NO. . � � <br /> APPLICATION FOR INATER SERVICE , <br /> � FIXED D DATE�—`- �� _-19� <br /> � DEPO31� s 37.J Q/ �,Wj'o0. <br /> �9f1 /' /J /��^ ..,��- �a�-2� yy'� <br /> SERVICE Uv ADD n�1.�IfL � ���/� ��"��' BLK._ LOT ADD. <br /> OWNE � '�'<<�/ —[J��— � CONTRACTOR <br /> �� F <br /> INBTA ETERED SERVI — <br /> I HERFBY APPLY FOR THE USE OF WATER IN ACCORUANCE WITH THE � � e <br /> ORDIHANCES AND POLICIES OF THE WATER DEPARiMENT NOW E%IS71NG / /!,/p <br /> OR AS SAME MAY BE HEREAFTER CHANGEO. �icHeo: _ �,�J""�� ---- <br /> ' MIITERIRL9 Yi IN• � IN. I 3 I I PRICE f pMOUNT <br /> p�pE ((S' I C COPPER--GALV.--STEEL 7� —�I�— _I <br /> CORPORATION N �.j Q� _ _I_� _ <br /> CURB COCK OT I I <br /> SERVICE BOX PLASTIC -- C I I <br /> ME7ER VALVE K VG��—__ . ---- - -- — <br /> METER No_L�s��y_aSS TVPE' ��98✓"'_I__�6 _ � _ <br /> METERBOX CONCRETE a,s//LSMALL LARGE _J __�__ <br /> R P - 3 - -- --L� - <br /> _�1,�6 7�3 -a-i -- - - <br /> ---- - � �- � - <br /> -- --- - � �i- - <br /> ON <br /> DATE INSTALLED: � �9 � O � OFF .— SUB TOTAL <br /> CODE � LABOP AND EOUIP�/ENf RENTAL I HOJN4 I RAT[ <br /> I ,S, Je�—�'�— -- — <br /> � _ __ — =� ,_L-� co<l�� '� — — <br /> -� - �zll__�� -�� ---- <br /> _ ; _ ��1���-- --����y- - <br /> -� - - _ _-- -- - � -- - - <br /> - - - - - -- -,�- - <br /> -'� <br /> TOTAL <br /> REMARKS: ___ .__ _ _ <br />