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APPL. �lGyCf � <br />No. �O / <br />J FIXED <br />� G�cPO51T s t�(a 6 � <br />i <br />SERVICE (BYAODqEBB) <br />� �� <br />i �'.%�i ' 'l <br />/O:io 7 - j�? �c. s,E. <br />�CITY OF EVERETT ORDERE N0. ' �? <br />APPLICnTION FOR WATER SERVICE � <br />DATE�' �a _,� <br />W. O. <br />n� -•�iR <br />INSTAL� 3Ly METERED SERVI�E <br />I HEREBY APPLY FOR THE USE OF WA7£R IN ACCOR�ANLE WITH THE � �--`�� <br />ORDINANCES AND POLICIES OF THE WA�ER DEPARTMENT NOW E%ISTING .,.c �,,. <br />OR AS SAME MAY BE HEREAFTER CHAI�GED. aicNeo: X.r_� _� <br />MATERIALS � ii IN. I 1 IN. I 2 IN. I I <br />PIPE <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />ME7ER No. <br />METtR BOX <br />GAL�. -- 5'2EL <br />OT <br />�PLASTIG �C I __ __—_I /� <br />_L <br />TYPE: I �� <br />CONCRETE SMALL LARGE ' <br />— �� P � �:r_'- —I- � -� <br />DATF: INSTALLED: 0.�//, �/���+ �! � � OFV <br />cooe � � LABO� a nNo eo�irMCNTRENTAL <br />� <br />I <br />__I _- �� �-�,, <br />�. e Y�s � �,� � <br />0 <br />f 3/- �' `/ <br />i'FICE �� AMOUNT <br />SUB TOT4\L <br />HOURS � RATE <br />r ._— .. . _ TOTAL II I _ � <br />REFIARKS:RYLVG��JZi(� �N.L)/t�I�L S�I/LGG '�_%S ��(/?�O :D) F�l'-.�V'iY�-'A- B�'in"L'i�-.�, <br />u�i.nf/3J'T � I'j�Lr�•}L �-t'�.iy- <br />