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APPL. '7 5�� ��j % <br />No. OS <br />� FIXED 0� <br />� �EPOSIT �/ <br />SERVICF. ceY noonE� s) �3 <br />n /� l// - �/ <br />CITY OF EVERETT <br />APPLICATIG�J FOR WATER S[HVICE <br />v P_. �(/ . <br />SERVICE <br />ORDER NO. � � " ' <br />DATE/SZ`�`-'/�� -� ��-< ^7--- tg� <br />W.O. / — <br />No.— - /J <br />,. LOT IS� A��t � r _ <br />IN6TAL�--1-y—�RED SERVICE--------- % <br />� HEREBY APPLY FOR THE USE OF W�TER IN ACCORDANCE W�TH THE � u <br />ORDINANCES AND POLICIES OF THE `NATER DEPARiMENT NOW E%ISTING 91GNE�� ` <br />OR AS SAME MAY �E HEREPF7ER CHANGED. I� 'N. tI .I�ZIN. <br />M TER1.1L5 � �� <br />COPPER •- GALV. -- STEEL _ <br />PIPE —._.-- --- <br />CORPORATION . — I <br />Cl1RB COCK _ OT __�---"-- I <br />S�qViCE BOX� _ PU�STIC •• C � -- <br />METER VAWE ___ __ -- I "— <br />TYPE: �" — <br />METER No. _ _ __ -----'-- <br />CONCRETE SMALL LARGE _ __ <br />METER BOX - I <br />DATEIN57ALLED: � <br />COOF I __ _- <br />REMARKS: ___._ <br />I v� ON <br />i� n OFF <br />��� <br />LADOR ANO E�UIPMENf RENTAL <br />� PRILE (� AMO�NT_� <br />SUB TOTAL <br />HOURS ' RATE <br />TOTAL <br />`c <br />r <br />r, <br />-~I �-. <br />N = <br />r-� <br />0 <br />C G <br />mc <br />r <br />� c <br />O = <br />Ri <br />--I �' <br />2 —I <br />m <br />o -�- <br />c` <br />a- <br />� � <br />—i v <br />< <br />�i <br />O : <br />T S <br />� �, <br />S <br />m� <br />v. <br />0 <br />or <br />c� r�, <br />cv <br />3 v <br />m <br />z c' <br />-{ r <br />. m <br />D <br />ti <br />_ <br />t. <br />C <br />� <br />