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�P��. a '7JC(�S CITY OF EVERETT ORDERE N° 6363 <br /> No. <br />� APPLICATION FOR WATER SERVICE -7 � � <br /> k'1 FIXED DATE �=�1� <br /> � <br /> � DEW31T : n 0 � NoO. — <br /> ra�� <br /> i <br /> SERVICE (wwDD�pp 5 � ' MA/�l I�1N�� BLK._--LOT ADD. --- <br /> � 7' <br /> OWNER � COMTRACTOR <br /> FLAT <br /> INSTAL 3 RED SERVIG� <br /> 1 NEREBY API'LY FOR TME USE OF W�TER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF TNE W�TER DEPAPTMENT NOW E%ISTING ��- ��{']_� <br /> Oq AS SAME MAY BE HEREIIFTER CHANGED. •Icr+co: X . [l.( �.� <br /> MhT[11IAL� �4 IN. t IN. � 11N. � PRIC[ AMOUNT <br /> rlrE 3�O COPPER--GALV.-•STEEL � —1-- _ <br /> oA� oor8� I _I _ <br /> �lRa �---,� 3�tn� �7 ! � — <br /> SERVICE BOX PLASTIC -- C 1 I , <br /> METER VAWE �I�� �WI �" � ______. ____ —.— __'— <br /> METER N'_�_�� TVPE: I ?f __ ___ " <br /> METER� CONCRE7E _ SMALL LARGE �__ _____ <br /> ^ 00� � I <br /> � 00�{O � �- �- - <br /> � � <br /> �°I�7 --�- — <br /> � — <br /> ; ,_� �`� s'' . I I <br /> ��/5 -�10 I ❑�oN <br /> DATEINSTALLED: OFF SUB TOTAL <br /> COO[ I L��Oq AND EOUIPMEN'f pEHTAL HOURf NI1TE <br /> �� � _ <br /> i 6 S�+ — C- <TaJ�cn I� -- <br /> i �����_ -- <br /> ; -- 3 ��a S I 6 <br /> i - - _—���� — <br /> I _ - <br /> I <br /> TOTAL <br /> REMARKS: <br />