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' _a <br /> SERVICENo 7 � 2 g <br /> �rr�. /� CITY OF EVERETT ORDER <br /> No. L9Z 7Z APPLICATION FOR WATER SERVICE /�� 'Q— <br /> �/��� DATE-1L <br /> �IXFD <br /> � oEro.�T � /05 � �_,�.�,u N o. <br /> TO POST.NG_'L J/'' qqq <br /> ' sERVICS (�V ADDRO�)-7 n <br /> I� II l3 � G LLT�I �. BLK._ LOT�ADOu���Q��� <br /> y�� n ( � J 1J1 CONTRACTOR <br /> OWN[I <br /> � IN67AL� �/�// F���VICE _ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCONDANCE WITN TXE -� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING ��aNeo: '"-- <br /> - pp AS SANE MAY BE HEREAFTER CHANGED. Pp� AMOUNT- <br /> MAT[RI�L� k IN. 1 IN. � 2 I . I�,� <br /> '�PE COPPER ••GALV.-•STEEL _I.�I--- � <br /> CORPORATION — I I <br /> � I — � _'— <br /> CURB COCK aT I <br /> ' SFRVIC� pUSTIC -- C I — — � <br /> M[TER VALVE _____ -- ----_ .--_ _-- --_— — – <br /> METE�.� 6 9�_ TYPE: ��I___S_�.I --'_____ ' _– <br /> SMA L LARGE ___I__.-- – <br /> METER BOX CONCRETE _ ---I �I <br /> —l�l— __ <br /> I i <br /> '_� �__�__ <br /> I <br /> II� _I <br /> I <br /> � /3� I ��FF SUB TOTAL <br /> DATE INSTALLED: �� 6 �-� <br /> Hourts R�TE <br /> COD[ � LAlON AND EOUIPMENT RENTAL <br /> � � 3 3n 3 --� - <br /> ' � -- <br /> I -- -- "'n arrinPl—_--II _ <br /> I -- <br /> application�tithn��+ + <br /> � ackflow Prevention Consullatio� <br /> I TOTAL <br /> REMARKS: 3' " <br />