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y� �-_- :_ :- <br />APPL. SERVICE <br />No. a�Q o2 �j CITY OF EVERETT ORDER NO. �J i) i Z <br />APPLICATION FOR WATER SERVICE /�/�I,� �/ <br />� FIXED DATE----�`��S{L—tp4� <br />�DEPOSIT � W. O. / — <br />No. <br />SERVICE f�rwooeu�l- �� J,'S d,_C�BLK._�_LOT�ADO.,��� <br />..n nn !� . <br />INSTAL�FLA7y` - • — -----___. <br />RED SERVICF <br />1 NEREBY APPLY FOR 'HE USE OF WATER IN ACCORDANCE WITH 7HE <br />ORDINANCES AND POLICIES OF THE WATER OEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE NEREAFTER CHANGED. e��Neo:) <br />MATENIALB �'i IN. I IN. i 2 <br />P��' 7`"/2S I rc. COPPER -- GALY. •• STEEL [� <br />CORPOAATIOk <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />-I_'tlil u �' J <br />or <br />PLASTIC -- ' I <br />TYPE: I gf <br />CONCRETE SMALL LARGE <br />DATEINSTALLED: <br />COOE � <br />,�5\/i�f i ❑ OFF <br />�LABOq ANO EQUIPMEN�f RENTAL <br />� <br />PRICE <br />SUB TOTAL <br />HOURB � R�TE <br />TOTAL <br />REMARKS: <br />AMOUNT <br />