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, <br /> Ar�L. �� �7r�/�J� ��TY OF EVERETT sERV10E �to 63�0 <br /> roo. . 1 `r/ U/ ORDER � <br /> APPUCATION FOR WATER SERVICE /� �7I <br /> DATE__l..t.--1--�F� <br /> FI%ED <br /> � �"�) W.O. <br /> � DEPOstT s i �� No. — <br /> �� <br /> � fERVICE l�r n�D�n�l � ��-� / / /�_ BLK._ LOT ADD.— — <br /> � � � � � <br /> OWNE � '�� ' CONTRACTOR <br /> � �I u�r% � 777,..�5'�S' <br /> INtYAL [11ED SERVIC� � <br /> I MERElY A�►LV FOR TNE USE OF WATER IN ACCORD�NCE WITN THE <br /> ORDINIINCES AND POUCIES OF THE W�TER DEPARTMENT NOW EKISTING ���NEo: Y. .. --.� — --- -- <br /> OR AS SAME M11Y BE HERE�FTER [H1INGED. - — -- — <br /> M�T[111A1� yi IN. 1 IFI. � S IN. � PRICE IIMOUNT <br /> r�rE _ CO�PER--GALV.••STEEL _ � _ <br /> CORrORATIOPI — ' <br /> CURB GOCK OT � — <br /> 5[RVICE BO% PLASTIC •• C I I _ . <br /> METER VALVE ___ — -- ---- <br /> METER No. 7VPE: I `S _ __ __— — <br /> M[TER BOX CONCAETE SMALL LARGE ___I ___ <br /> I —� <br /> � <br /> __ __I � <br /> I — — <br /> I I _ <br /> N <br /> DATEINSTALLED: '� � y I � OFF �� SUB TOTAL <br /> CODt I L11lOR AND EOUIPMENf 11ENT�� NOUR! 11�TE <br /> � � ; f f � --� <br /> I � <br /> i _ - �-- -- <br /> - I <br /> ' - I <br /> � <br /> I - <br /> -- I TOTAL <br /> REMARKS: �j«�c+� - 2�,ZC��7 _ __— — <br />