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APP�-• �//� `/ AP:LICATION FOR SERVICE SERVICE N° 6 9 7 <br /> No. � / ORDER <br /> jy�r�� CITY OF EVERETT WATER DEPT. ��-- � <br /> �FIXED DATE 1B_ <br /> � DEPOSIT S ��r r'� W.O. <br /> No. _ <br /> SEicVIGE �BYADDRE691�v J���'� ./.V"�' OLK. LOT U J�DD. __ <br /> �� v <br /> OWNER_. _ _CONTRACTOR/���� ��� <br /> �/�,� FLAT <br /> INSTALLl�'�!9 SERVICE_ ____ <br /> I HEREBY 1PPLY FOR TNE USE OF WATER IN ACCOaDAN.;E WITH THE <br /> ORDINANCES ANP POLICIES OF THE WATER DEPANTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEREAFTER CHAMGED. 61cnw:X� _ ��������"`U-/�,_ <br /> AUTEHIALB !� IN. I IN.I 2 IN. I � ��PRICE ��—A—MOUNT <br /> PIPE COPPER-�GALV.—STEEL ,� � I � `�/� I��}. <br /> CORPORATION �I 9� /�_— <br /> i�CiL( <br /> CURB COCK � OT� _ I I JI U J <br /> SERVICE BOX PLAST J�C7-- C I l _I I�� ��' ��� <br /> METER VAWE __ — _— — — I I <br /> METER No. TYPE: I j{� � <br /> — �� <br /> METER BOX CONCRETE SMALL LARGE __ I__ <br /> _ _� �I <br /> I I I I <br /> I_—J �— _ I <br /> —_ __� �_ <br /> i � I_ _— I— — <br /> I � ON ��t <br /> DATE INSTALLED: / / �� _' _l rh �OFF i/q/�fn� ` SUO TOTAL �R // <br /> // /� ✓ <br /> COOE I LA90R AND[OUIP:AEN!RENTAL I HOURS RATE <br /> ��-L.� -_ _ I 3 ,. %; -� <br /> _ � , ,�� <br /> _�- _-- �---- I <br /> ��.�..G� I_� ;,-%1�-i-- <br /> _ � -; � -- <br /> i, <br /> --� ---- -�_ --I�-i--- <br /> � ---- -- - - - - - � - -- I� - <br /> I I I��(� <br /> ��/ _ __ _ TOTAL ,I ,)../IF.,�� <br /> REMARI(5: � <br /> . __--____ _. . _ __ . <br /> - _ _ . . . .. __ _. —, <br /> . _. _ . . . . . .r:-_.. _. _ ' _� ._ <br />