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_ APPL. �5G �� CITY OF EVERETT ORDEpE NO. �� ?� J <br />No. � � <br />APPLICATION FOR WATER SERVICE oA iJ_ ��--1 v.�� <br />f�i�� oP� <br />� FIXED �o <br />� oeroe�r �_��_`- 9,j7ri /'L S� W. __ <br />� Q/ � �//J/ p I� <br />BERVICE ��r� oen�l�- - - - -fi�1L�=-BLK.--ILUT / <br />\ /�/,�_ �/� <br />OWNERL'L�/kR=��� __ ._-- ' _- ____GONTRACTOR�(�L.--K.l�r�w <br />� � (� <br />INSTAL � �ED BERVICE- --.- - � ----- -- - *- - <br />I HENEBY APPLY FOF THE lISE OF W�iER IN �CCORD�NCE WITN THE � <br />ORDINANGES AND PULIGES OF THE W�TER DEPAR7MENT NOW E%ISTING /l��_ ji!'��r <br />OR AS SAME M�Y BE HERE�FTER CMANGED. •icrvco: % �- ---f <br />MAT[RIAL/ I I <br />PIPE COPPER •• GALV. -- STEEL I <br />I W IH. IN. ! IN. <br />_ _ __- ___ . _ ._-_-� t_--__ -.._ _ _ <br />CORPORATION __ ___ <br />CURB COCK OT ______ <br />SERVICE BO% PLABTIC •• C 1 <br />METER VALVE _ <br />METER No.--- ��-��� � � � TVPE: � i�� �� _� - <br />_.__ -__._- -_ ___- . _ <br />METER BOX CONCRETE 9MALL LARGE <br />__ . '_- _____.— <br />/ <br />. ' � . �-_ f- � , �=�- I <br />PRIC[ II AMOUNT <br />� I��ON <br />� SUB TOTAL <br />DATEINSTALLEO: �?�'�/�5 _ � OFF <br />COO[ I L�lOR �NOE0�11PMEHf VENTGL MI Uup' A�t� <br />/ 7-_ <br />I L��� % 7J��� �/� I <br />_. _ _• _-.-__. <br />....-_ . _- _ '- _ <br />� -_-' ___- ". _ ___"" I'" - _ "___- <br />_'_- _____._ __." " <br />_.-"_- - <br />_ . .. .__ _.-__- -.. <br />_-_- I <br />I l!/ __.._..__ -__. _ <br />y3�Q/ ---- - , <br />- __ _ � _- - - <br />-, __ --- - -- --,, - - <br />-- ----- - _ _ <br />-- -- ------ - <br />-- <br />, __ -- -- <br />-- --- --- -------- ; <br />REMARKS: <br />TOTAL <br />. .. _. __. ..___'___. � I <br />