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APPL��� �� I <br /> NO. —�I %T CYfY Or' EVERETT SERVICE � . . <br /> APPLICATION FOR WATER SERVICE �RDER NO. . � , . <br /> � FIXED <br /> ,� DATE��� _18� <br /> � DEPOSIT s � �� <br /> lY.O. <br /> �7 p No,_ <br /> SERVICE (BY ADDRE88) 7' � __ J D �__�_ <br /> � <br /> �- BLK._Y•� LOT_Z.3 qD d .� S c �E <br /> OWNER �,� . ,,,�qi �/-�-ac� -�--� <br /> ' —_CONTRACTOR <br /> 1NSTAL �� FL . <br /> ETERED SERVIC �_ <br /> I HEfiEeY APPLY FOR THE lISE OF WA7ER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES %' THE WqTER DEPAR7MENT NOW EXIS7ING �/f <br /> OR AS SAME MAY BE HERE �.R CHANGED. / <br /> 91GNED: X .__/�G�G�K_Lc���___— <br /> y MATERIALS Yi IN. 1 IN. � 2 IN. � <br /> P�PE ��f��S���� COPPER-- I PRICE AMOUNT <br /> _ GALV. -- STEEL /y� � <br /> CORPORATION — , <br /> CUR6 COCK OT — _ <br /> I <br /> SERVICE BOX PLASTIC -_C I_ I —' <br /> METER VALVE <br /> _._- _._-.. -- <br /> -_-'. .____.. <br /> ___—_ _ <br /> METER No. � 9� 7YPE: -7 � ---- <br /> �----s+ _- . _. _ p-�LtlL `{, __ ` <br /> METER BOX GONGRETE s��"� _L <br /> � SMALL LARGE <br /> ---�.___' __-�.L,Q__. ___—.— <br /> �,,, �_ �__J�i'--3�— _. _ 1 � ;— <br /> —7 I I � I <br /> %`" r�--�s`E��G =I�, -- <br /> —��p p P=��C'4L,�--- � I — <br /> 'Sd�� '�l=E r n/ n — <br /> -------r-M1 J�-;-S�'� G _I <br /> I � ON I <br /> DATE INSTALLED: �._� }� �o� . <br /> / OFF SI�B TOTqL <br /> CODE I LApOR ANO EpIIIPMENf RENTAL <br /> IHOlIRS qqlg <br /> I � �-=�f/�--�2_ ____I � <br /> --� �G��---�'� �—�'�/ �— '� — <br /> —i — ----- -- - �—��— �—�— --- <br /> —�— ------ ---���-� I�e — — <br /> �i ---,(����._ I� - <br /> -i -- ---- ---1_- - <br /> REA1qRKS: <br /> TOTAL � <br /> � <br />