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A�P�" /✓ � O � APPLICATION FOR SERVICE seavice �1Jo 5 Z g <br /> ,Jo. - ORDER <br /> /iJ��'�, CITI' OF EVERETT VVATER DEPT. �J J <br /> �' FIXED OAT��" I�`l ���� t�� <br /> .« j— <br /> � DEPOSIT x ��C C�_ W.O. <br /> i// � <br /> No. <br /> SEF.VICE: 1 v DOREeeI��<_�_�� �-" � i-.f 4�� �� � <br /> C�- � —BLIC. LOL.�qDD. <br /> OWNER�_�ita..i_-L.. d_it '�.. �` : _ <br /> �,� �� � ----CON7RACTOR_ <br /> INSTALL_� F�A�a SERVICE--___ i <br /> I HENEBY APPLY FOR THE USE OF WATER IN ACCORDA,!CE WITH THE F, /7 <br /> ORDINANCES AND POLICIES OF THE WAiER DEP.\RTMEN7 NOW EXISTING �/ <br /> OR AS S�ME MAY BE HEREAFTER f.HANGED. aieHeo: X�l�-�7t-(- l �� /� �.C�7L.- ��,"-� _ <br /> M�TERIAIp �� iN. 1 IN. I 21N. <br /> I PFKE AMOUNT <br /> P�PE COPPER-- GALV.-•STEEL ^�'� <br /> CORPORATION � �� � ��`� <br /> — _ � � ,1- <br /> C_URB COCK� OT�' I /_' <br /> SERVICE BOX ��P!qSTIG'� -- C I -' <br /> � � �� � � � <br /> NETER VAWE i � <br /> METER No. _ TYPE: I ;f <br /> METER BOX CONCRETE SMALL LARGE I � <br /> I --_ — �I <br /> _ I _� I _ �_ <br /> _' i I <br /> 1� I � I � <br /> . r I ❑ ON <br /> DATEINSTALLED: Q'-pFF � SUB T07qL I // l-� <br /> A^ O <br /> CODE I L�BOq ANO E0111PMENT RENiAL I MOUR5 RATE <br /> — I _i � � 7I lr <br /> � �� <br /> ' ------- - I__ -I� � <br /> -- � �; i <br /> --� -- ---- - � li i - <br /> - � ------- ---- - --- �- -�� I__. <br /> . ._ _ I TOTAL I ,/�C.%J <br /> REMARKb � �..- <br /> � . <br /> ---_ j _ <br /> •�-. ( -- - -- � -- - -- . r. ---- - - ----- <br /> � <br /> _ , , , <br /> �� � � ___ - - <br /> =-- ' �� � � _ <br /> - _a�-- <br />