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APPL. �7�SS0 <br /> No. 0� CITY OF EVERETT ORDER E NO. �E �� 3 <br /> APPL�CATION FOR WATER SERVICE p� <br /> � FI%ED Q DATE�y� /� _1D(C_ <br /> � DEPOSIT �� / -c A W. CS/ <br /> t 1 �7� //I�(�i � No.. <br /> SERVICE (�Ywobau�)�PS Q BLK._. LOT /3 .\DD. ^� <br /> OWNER C7 '- P ` _GONTRACTOR <br /> // F — <br /> INtTTAL� METERED SERVICE_� <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEBEAFTER CHANGED, e�cwEo:X__ _ ___ <br /> MATEHIALS }�' IN. I IN. I � �N• I L PRICE AMOUNT <br /> _PIPE COPPER•- GALV.••STEEL — {I- � —� <br /> CORPORATION I —� <br /> CURB COCK OT � <br /> SERVICE BOX pLASTIC -- C I I <br /> MET�R VALVE —� <br /> METER No. ��0� __ 7YPE: -���—� I ;( _ — -- <br /> METER BOY._ GONCRETE SMALL LARGE <br /> — I __I�I <br /> _—I � <br /> _i �-- - <br /> I�-- _ <br /> ——I —j—� — <br /> I I I <br />' � ON <br /> DATE INSTALLED: ��n3,{� I � OFF SUB TOTAL <br /> f. �pv <br /> CODE � LA�ON ANDEqUIPMENTRENTAL � XOUHS RATE <br /> � CdiAil'+�Ati%v,�° --�- � <br /> , _ ������� <br /> ; , - <br /> � - -�;��`1==��� ,-- -- <br /> � _ � <br /> � --- i <br /> _ TOIpL <br /> REMARKS: <br />