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APPL. ��/�� <br />No. 1 <br />� FIXED �� <br />� DEPOSIT �1 1'� <br />SERVICE (BY ADDNE68).� <br />CITY OF EVERETT SERVICE <br />APPLICATIOiI FOR WATER SERVICE �RDER �p 67 <br />O} � <br />DATE__ l..F I.. 19_ <br />W. O. <br />No.__'_' _ <br />�j�(� �1 <br />—BLK._ LOT1{�_ADD..��>��L <br />TRACTOR ��J /�� .. ._ <br />INSTAL �� ' I MLETERED SERVICE— � �� / > � �`� .__ _ <br />I FIEREBY APPLY FOR THE USE OF WATER IN ALCORDANCE WITH THE <br />ORDINANCES AND POLIf.IES OF THE WA7ER UEPARTMENT NOW EXISTING �/ � <br />OR AS SAME MAY BE HEREAFTER CHANGED. BlaHeo: X��,�.,1'�`"_'-� >-�-�__ ... __. <br />MATERIALS ji IN. f iN. � 2 IN. I i I I PRICE II AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORA710N <br />CURB COGK OT � <br />SERVICE BOX PLASTIC •- G I I <br />METER VALVE <br />METER No. --�-�-� --�� - 7YPE: �� --�����I � -- — <br />METER BOX CONCRETE SMALL LARGE <br />� CN <br />DATE INSTALLED: II I�-, J�� (� OFF <br />COOE I LADOR ANO EOUIPMENfRENTAL <br />I_"— ______-. _._' ____.___ <br />/a- ' C� ��7 �-I- I � --- <br />µL-� SUB TOTAL <br />( MOURS RATE <br />. I..._. __� _-- <br />_" .— —_ ___' _'_— <br />TOTAL <br />REMARKS: <br />