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APPL=—"s-�� �• Y � � � CITY OF EVERETT ORDERE NO. �� n �� n I <br /> N�� APPLICATION FOR WATER SERVICE -y 7� �/�. <br /> � FIXED C D.�TE „��-11L--18L_l- <br /> � DEPOSIT �,��� � No�— <br /> SERVICE (eYADDREes)�'� � /��' `�" ' BLN..�LZ-�LOT-.�_A�4�F_-E / �. <br /> � � i <br /> OWNER=�1t=� —�-llr �-�-�'�� CONTRACTOR <br /> •� // 7%) <br /> INSTALL �' �� ETERED SERVICE--- --. - � ��-/ - <br /> I HEREBY l�PPLY FOR iHE USE OF WATER IN ACCORDAHCE WItH THE ////I <br /> ORDINANCEt: ANO POLICIES OF TNE WATER DEPARTMENT NOW E%ISTING etcHeo: % ��Zll - /--Jt� <br /> OP AS SAMH MAY BE HEREAFTER CNANGED. _ �-�-`�-'�L�"-"��— <br /> i <br /> MATERIALS �' IN.� 1 IN.�21N. � PRICE AMOUNT <br /> � <br /> PIPE \ � i� : � '�+� COPPER•-GALV.-STEEL__ �_I,__ _ _ <br /> C..RPORATION '. , ,`- �- r�J SS�C'C_� `> I� _I_ I . — <br /> CURB COCK OT ~ I I -�— � <br /> _—_ f--- I <br /> SERVICE BOX �LASTIC�'•- C 1 _ � <br /> METER VAWE _ _ __ --- --'- <br /> _METER No.- _- - _ _� __TYPE: _ . .___- I_,4— -�___-I_= _ <br /> METER BOX CONCRETE SMALL LARGE _ I__I I _ - <br /> - --- _, i1 �� �_ - <br /> _�� / S �.> �j �' - ��...' . — — <br /> -�---- I <br /> �— — <br /> i � ��i _ <br /> - -- �-- --I �--- -�- — <br /> I <br /> — ------ -- ---� ------i--I I �I— — <br /> ,L� ON <br /> DATEINSTALLED: l/�� �� ' ��- n UFF SUB TOTAL <br /> / <br /> GOOE I LA90R ANO EOl11PMENf R[NT�L MOUPS PATE <br /> —� � ' � <br /> . � - . ; . --- — - — <br /> -----_�--� --- -�—. <br /> -- ----- •� `,13:.�i-� '' - --.. <br /> .- -- .. ... � / � �J - <br /> � - r .,� — - <br /> -- _ --�� .� ?l 7 � ''� -- - -- <br /> --- --- - ----- --- � --- <br /> --I ----_-- - ---- - --- - -��--- - - - <br /> � -�-- � <br /> — TOTAL <br /> FEMARKS: _ ' _______----' ' <br />