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APPL. a�f •'7 / CITY OF EVERETT SERVICE � <br />No. ORDER NO. � • ' - � �•� <br />APPLlCATION FOR WATER SERVICE �],� �j <br />� FI%ED DATE-//i-�� Il--10�'�-l- <br />� DEPOBIT � Q � _ ry �_ _ _. __ _ <br />� , BERVICEI��v oo�au���--fp�' - ^ ���' _BLK.___._LOT.��_yC1(U�'��9�.LL- <br />OWNERL�.�! - JI%�-----CONTRACTOR_--_ -_----- �- <br />INBTALL�L� MET'e'�CE_____ _ . ..__ .-___--__._--_ _._ _._-_--. _.___ <br />I HEREBY APPLY FOR TNE USE OF WATER IH IICCORDANCE WI1H THE <br />ONDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW El(ISTING �__�,.� <br />OR AS SAME MAY BE HEREAfTER CHAHGED. •�o'���� - �'''���"'-- ?-- --- <br />M6T[RIAL� 7� IN. I IN. �! IN. � PRICE AMOUNT <br />PIPE COPPER-- GAW. -- STEEL _ __I. _ <br />CORPORATION -_-_ ---- - �� � ��—�_—�� � _. _ . <br />_ -- __._.___-- -•__ i— I- _ <br />GUNB COCK OT I <br />SERVICE BOX PLASTIC •• C I I _�__ . <br />— __.__ _.___._.__ _..._ — - <br />METER VAWE I <br />-_-__-__ . ... _ . _ . ___- __ _ _. _ . _ _ — <br />METEq No. TYPE: I '� _.._ -- _- � _ _-- _-._. <br />__—_ -.. _. . . __ __. . . <br />METEq BOX CONCRETE SMALL LARGE �� <br />._....._..__. . _.-__ .____ -____i...._ _..__ <br />— I —�_' _-' —_ _ <br />.. _ I �--_.L._ ._ -.__.- — <br />_—___'_- -_. _ _. I <br />___ . -' '____ '.__-�___'_I_' ._'___ --_ _'____ <br />_-__'. __--__. '� I � '; I � <br />i <br />ON <br />DATE INSTALLED: � 1� �7 � I �OFF SUB TOTAL <br />J <br />COD[ I L�BOR AHD EOUIPMENfREN�AL 'i NOUR! P�TE <br />I c���',ycr�__ -- � . - ----- - <br />-- -- - <br />� -- ------ '--- --- — <br />' � 6 {��� / _--' - - - ---- - <br />._ <br />_ <br />- - - <br />- - -�-- - -- <br />_- -�--- - -- <br />--- _ <br />REMARKS: <br />