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�PP�-• SERVICE <br /> No. a 7��,�5 � CITY OF EVERETT ORDER ,� II <br /> APPLICATION FOR WATER SERVICE � <br /> � FIXED DATE_—_�_I ��Ie� III <br /> � DEPOSIT Z �1� — W��• I'i <br /> No._ __ <br /> SERVICE fev woonEse)-1_l��w� ���-Q� I(Q..ADD.!��� <br /> BLK.___LOT_ <br /> OWNE � ���x��_7 �] CON/7�RACTOR ��I� F.---_ <br /> � �� FLAT _—_— � / / 2 2'3 � �O <br /> INSTALL ME ERED SERVICE_ <br /> I HEREBY APPLY FOR THE USE OF WA7EF IN ACCORDANCE WI7H 7HE io � <br /> ORDINANCES AND POLICIES OF 7HE WA7ER DEPARTMEN7 NOW EXISTING / //�(�� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. eicrveo: X ._..______ L-�C�._________. _ <br /> MATERIALS �/ IN. 11N. I 21N. I pqICE AMOUNT <br /> PIPE GOPPER -- GALV.-- STEEL _ _�_I_I_ <br /> CORPORATION _ __ ___ _I__� __— <br /> CUFB COCK OT <br /> SERVICE BOX PLASTIC -- C I I <br /> M6TER VALVE <br /> METER No. TYPE: I �w — _'— -- �— � —�— --�— <br /> METER BOX CONCRETE SMALL LARGE <br /> ____ —_--I__�I— _— <br /> I �-1 __ <br /> � � <br /> __ ' � ��— —_'_. _ <br /> _ — _I � I__ _—_ —' —_ <br /> _---I__'__.. I . _ <br /> DATE INSTALLED: 3(�� v9 , - ON <br /> � OFF �(.{(�� SUB TOTAL <br /> COOE LAB01t AND EOUIPMFN�f RENTAL I MOl1R5 pAT[ <br /> �i����l�J----- ------- -- ---�-- � ---- <br /> � <br /> ---� -- - - . <br /> _ , - - -- - �- ,; <br /> � _---- - - - --- - --- <br /> - - _ --- <br /> � - --- -- -- <br /> - - - -- -- - <br /> i -1 - <br /> TOIAL <br /> REMARKS: <br />