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APY���:J; � T t,ITY OF EVERETT ScRVIC:E <br /> No. - -' / ORDER NO. <br /> :1PPUCATION FOR 6VATER SERVICE <br /> � FIXED O�� DATE.��� .`_ ..__ '� --�...__19.-�� <br /> � W. O. <br /> � DEPO5IT g ../ �'; . No._ --.-- <br /> — e -- <br /> / o . <br /> �. . ,.� �� v/� i� ' �' I��-�.sF-�L� �.. <br /> SERVIGE (BY ADOREE61�� �_!_—.._. _—�_'_� � '�`�" ��` '-----BLK.__—__—LOT—T ADO -/..�,�..,xtii ��-- <br /> OWNER�°:"7-' ..' .�.,_,/�{..lc�,J-='-'� ������ "�—CONTRACTOR_ ✓✓u'-�L" U`+� <br /> " ___._..__-- <br /> � '�/ FLAT� I / <br /> INSTA��_%'�� METERE�SERVICE— .__ . ._.—..._— ____ _-� . . __._ <br /> I HEREBY APPIY FOR THE USE OF WATEp IN ACCORDANCE WITH TH� / � <br /> ORDINANCFS AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING / <br /> Ofi AS SAME M�1Y BE HEREAfTER CHANGED. sicH[o: X�,� -.�—c4� ---- - - --- <br /> MMERIAL3 I ii IN.'i 1 INy, 2�N. � � j y � ICE AMOUNL <br /> _ J/ <br /> PIPE COPPER -- GALV. -- STEEL I__ I! �� ' I '�._-� I <br /> _ --__—___ --___..__-._—_ � i ._' ., . ,__—_ 'll_—_ _ { '— <br /> CORPORATION _____ _.___ '—��— ��_� — �__ <br /> CURB COCK OT _ ' I I _ _ _ <br /> SERVICE BOX PLASTIC -- C I � I � j <br /> ' '__ -- ._ _ — . <br /> METER VAWE � � <br /> — . ___. .__ _.. —_— .. _.—. — —_'— —. ._--___ —_ _—_._ <br /> METER No. TYPE I `; � I � <br /> __. _.__._ .._— _ ... _ . . _._—.I__--.�--I. __ __— . —. _—__ <br /> METER BOX CONCRETE SMALL LARGE <br /> —�—J'__- __'— <br /> I I � <br /> _'____—_— '— --'—___ ___-- '_ ___'___"_ <br /> I I <br /> _ .-- _ __ J—�— —____ — — <br /> '_ _—__—__ �_ �_— ____— __ <br /> --- - - �--� -.:i__ i _ _ --__ <br /> - ---- <br /> � <br /> - ---- --- - - - - --- - - <br /> I f� ON — <br /> DATE INSTALLED: � OFF SU9 TOTAL <br /> ��". � `� . .'/ <br /> CO�E ' LADOR AND EQUIPMEN( RENTAL ' HOL1R5 R4TL <br /> I, ;''� . :� . .,�/.z �!J 1 �i � � � <br /> .__ . .. . _ . . - ---- ---�• -- -- ---— <br /> ; (:'L-'I'j�!'J: / % I�-- - .. . . --- --- <br /> _— _"—__ _—_ ___ _ —_ - . _ <br /> / � � �� ( �' <br /> — � �_•7 � C�— _ --_�L./ �—.�_ . _ — — <br /> i <br /> -_ . _ - __ �_ .. _ --. __. - <br /> � __—_—.--__' __—' __. _—.r'��—�Z 'e�t —I_. _ _.' _' _' — <br /> TOTAL Ii <br /> REMARKS: <br />' <br />