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NoP�' a (p� �7 _ CITY OF EVERETT ORDEIR E NO. �. r S 7 <br /> , AP4'LICATI(1N FOR WATER SERV;GE <br /> I� FI:CED DATE ��--16� <br /> ���EP031T ��� N O. <br /> , � /^-� ' C� � (�� I /�t�?,�creek 4�v� <br /> SERVICGISYAnDena).�J �` _ ✓����J-�-. BLK.. L0T1�A�D.- <br /> OWNER�I(j.1� I �JAJ--l�PrS GONTRACTOR�,J.[(.J'Kp <br /> 2 �� FLA � <br /> INSTALI.J�_ RED SERVICE_- - <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOFDANCE WI7H THE <br /> ORDINANCES AND POLICIES OF 7HE WATER DEPAflTMENT NOW EXISTING � - � <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. ei�Heo: X - <br /> MAiERiALS jG IN. f IN. � 2 IN. i ��_ PRICE AMOUNT ', <br /> PIPt COPPER•• GALV.-- S7CEL �� � <br /> CORPORATION _ _ ��� <br /> CURB COCK OT � I I <br /> I SERVICE ElOX� PLASTIC -- G I _ I __� <br /> METER VALVE <br /> --_.. _.-_._ _- - _-__�_ - <br /> METER No._____ TYPE: _ _ � 35 _ _ _ __�___ <br /> METER BO)C CONCRETE SMALL LARGE <br /> - _ �-'- _ <br /> I I I <br /> - - --- �--j T- - <br /> I <br /> _ _ - -_- i__I �__ "._. <br /> �I-_J-""'I-_ _- <br /> I � I � <br /> �N � SUB TOTAL <br /> DATE INSTALLED: �i'J �i�.6 I � OFF <br /> n <br /> CODE I LA90RAND EOUIPMtNfNENTAL � HOUP9 PATE <br /> � G7r��t'nc�vq__� <br /> � � — I-- -- <br /> --, �� I --- I � <br /> I � � <br /> I -- �--- -- <br /> � <br /> Tor�� , <br /> REMARKS: <br />