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, AFPL. l � / � ^ SERVICE <br /> No, �, tp � CITY OF EVERETT ORDER <br /> APPLICATION FOR WATER SERVICE ��° 544 8 <br /> �y FIXED � DATE__�L(J���1L�B�yZ <br /> 7C <br /> � DEPOSIT s �p� ` W.O. <br /> u No._ q�/ �/ <br /> (��( G 2 //� rh > /Y(GNnTG�It �/�/(?iD <br /> SERVICE (tlY ADDR[88)—_fL{-�-.J-�iL � �� BLK._ LOT-/��AGD. #- S <br /> OWNER__.I�_�L.1i���` IIvIK�.CS CONTRACTOR_---�,�{K!1 F — <br /> LAT <br /> INSTAL — ERED SERVICE--_—_—_____ __ <br /> 1 HEREBY APPLY FOR THE USL OF WqTER IN ACCOROANCE WITH THF. J . <br /> ORDINANCES AND POLICIES OF TfiE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY 9E HEREAFTER CHANGEO. swHeo. X ;= ,(�:�,^� (_��v�9_ __ _ <br /> i l / <br /> MATERIALS � �/ IN• 11N. I � �N• I V I PR CE AMOUNT <br /> PIPE COPPER•- GALV. -- STEEL _�_ <br /> CORPORATION � f <br /> CURB COCK _ OT _ _� f __ <br /> SERVICE BOX PLASTIC -- C I <br /> I � <br /> _----.— _ _ —. <br /> METER VALVE <br /> _ .—_ _—_..._ .________—__— — --. . - - __ —___._.— <br /> METER No. TYPE: I �f <br /> _.__ _______—.__—_ _ _.�__�__._— _ __ <br /> METER BOX GONGRETE _ SMALL LARGE _I__I.___ _ <br /> __ _—_I —I—I__— _ <br /> — ' ' '_i �_I—_ <br /> — _—I �� _ <br /> I I I � i <br /> I '17N <br /> DATE INSTALLEO: � ' OFF SUEi 70TAL <br /> � � , v �.�"�'f,� �L�>'� <br /> CO�L � LAPOR AND EOUIPMEN�fRENTAL I HOURS RATE <br /> I I <br /> I _ __i <br /> I I — _' <br /> V �V-��_'-__ _ _— -_— _-_ <br /> I I _ — <br /> i __ —I - __ <br /> � I I <br /> TOTAL <br /> REMARKS: <br />