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SERVICE <br /> / APPL.��c��/ CITY OF EVERETT ORDER NO. nr i <br /> No. 6�� <br /> APPLICATION FOR WATER SERVICE Q� (��( <br /> �FIXED DAT � u —10�L.L <br /> � W.O. <br /> � DEP091T sS�' No. <br /> SERVICE (�YwoDRu�>��S�Z � `Tb� �v�' � v BLK._�LOT�A D��U'�Q �� <br /> OWNERttl�l�'J �'d � CONTRACTOR �� <br /> 1� <br /> IN$TAL � ETERED SERVIC - <br /> I HEREBY APPLY FOR THE USE OF WA7ER IN ACCOPD�HCE WI7H THE <br /> ONDINANCES AND POLICIES OF THE W�TER DEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEREAFTER CXANGED. eicNEo: X_ _- <br /> MATEPIALB �/i IN. 1 IN, � 2 IN. I PHIC AMOUNT <br /> PIPE �TKi ------- _ �� <br /> GORPORATION � . <br /> CURB COCK OT I I <br /> SERVICE BOX PLASTIC -• C 1 I <br /> METER VALVE <br /> METER No. 7� J q _ TYPE: /}D�� 5= _ I __ ____ <br /> METER BOX �6GME1!lTE��J SMALL LARGE _I__ <br /> f/ /5073� — � — <br /> I� <br /> �,4c�T�iu�--S�,zb�� -Lf — —_ <br /> ( �� - > � '� — -- <br /> I <br /> I i T— <br /> o..._ :� �" � <br /> DATE INSTALLED: O7 � I/_Q� I � OFF ���� SUB TOTAL <br /> o ei <br /> CODE � LABOF AND EOUIPMEN�f RENTAL NO R9 RATE <br /> I I <br /> I �� � - - <br /> � ��� � <br /> � � <br /> � <br /> TOTAL <br /> REMARKS: <br />