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APPL. � L�`,I.,i CITY OF EVERETT SERVICE �-� �� <br /> No. ORDER NO. � � � <br /> APPLICATIOIJ FOR WATER SERVICE �Y C , <br /> � FIXED DATE�I�L---19t� <br /> � DEP051T S L 1 LU C� W.O. <br /> � No._ <br /> SERVICE �er oon[es)—�'J �.� �. '�-�L',�-� S'� • BLK.�LOTS9� 'ADD/.-�.{�—�'�U <br /> OR'NER ��'RS�fl���•__�'��,4-�--CONTRACTOR_`J ���� — <br /> � FLA <br /> INSTAL �METERED SERVICE_ -- - - -- <br /> I HEREBY APPLY fOR THE USE OF WATER IN ACCORDANCE WIiH THE <br /> ORDINANCES AND POLICIES OF THE WATER PEPAPTMENT NOW EXISTiNG <br /> OR AS SAME MAY BE HEREAFTER CMANGED. eiGNEo: X _ ._��W--_-..-���-- --- <br /> MATENIALS ji IN.I � �N. 2 IN. �, I PRILE AMOONi <br /> ^ /�� <br /> {�}- / <br /> - PIPE ��.�__ ____—'_—_ - .'_— / —��--I���_ _ <br /> CORPORATION J <br /> CURB COCK OT � _I I _�_ <br /> SERVICE BOX PLASTI -- C 1 L I I _ <br /> METER VALVE I <br /> METER No. TYPE: —-- ' I '6 ' -- �-- —"- <br /> METER BO% CONCRETE SMALL LARGE �_ _ <br /> N-i5�73�n — --�—� —�— <br /> �C9_r�1H-�__��p' �_-SI�-�c,�— �--� — <br /> �� ��-_7� � .-�� - - —� —'— — <br /> _t�'i'G_�2-_��.� -�- - ---�—�— --- <br /> � I I I i I <br /> • ' --____ _- � ON � <br /> DATE INSTALLED: 1Z+ {[� �S I � OFF // i SUB TOTAL <br /> 1_/ � V <br /> COOE I LApOq AND EOUIP�dENf RLNTGL I NOURS RATE <br /> I —�I��� <br /> — '—_ _—_—' � �'IV <br /> I b _ (J_5.���-� -- -- <br /> � 4 �7/1_J_I�- — <br /> i--_���, -- ----------'��-�`-I--�- <br /> i --- - -- --- -- - - I -- - <br /> TOTAL <br /> REMARKS:S�{''If_GQMFiS /LQ_RSN_1��3723�a�f�NL'__ <br />