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� No'L L/ ��a2 �,3 - - CITV OF EVERETT $ERVICE N° 6983 <br /> ortocrt <br /> • - APPLICATION FOR WATER SERVICE <br /> � FIXlD �`�'n� -�V �-I��il'� iN� DATE---�Z�fO� <br /> �-� � DErOf1T s .� '! �.• � 9� W.O. <br /> i No. <br /> SERVICE tw woo�u��—l(!1!J�'1/�� /.r��.���� BLK.. LOT ADD. <br /> 7 CONTRACTOR <br /> // F �` �/ /l <br /> O NE <br /> INSTALI�— TERED SERVIGE `�Lf' �(7 N/T���tV1I�t /-r/��/r�� <br /> � <br /> � XEREBV APPLY FOR iHE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENi NOW E1tISTING ' ' <br /> OR AS S�ME NAY BE HEREAFTER CHANGED. •icr�co: X —________________ <br /> M�T[RIALi 4� IN. t IN. � 2 IN. I � PRICE AMOUNT <br /> rIPE COPPER--GALV.•- STEEL <br /> CORPORATION —�� <br /> CURB COCK OT I �— . <br /> SERVICE BOX PLASTIC •• C I I I <br /> METER VALVE <br /> METER No. , � �]O ___ ,- TVPE:____I__q _ _ — _ �— -- <br /> MET=R BO% CONCRETE SMALL LARGE <br /> — _ I —� -- <br /> I �—I— <br /> "—i , _ <br /> __I �_ <br /> I �___ <br /> �I � I I <br /> ON �' <br /> DATE INSTALLED: � �_ � (� � OFF SUB TOTAL <br /> COOE � L�BORANDEOU�PMENfRENTAL MOORS RATE <br /> �-I - - I <br /> � �i l:a- I <br /> , <br /> � -- I -- <br /> —, — �— --- <br /> —� -- — I <br /> � � � <br /> _ � � <br /> TOTAL <br /> REMARKS: ' �I�_ � �. ��� C /��-�-�-�i- nrGQX/1-F--�Q���_�!<_— 7-/ —�� <br /> 1..E7Sti�—_�u <br />