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ARL. �� ) j 7� CITV OF EVERETT eERVICE A C <br />No. L'/ /// � OHDER 1V'�� 11�53 <br />� APpUCATION FOR WATER SERVICE � <br />� FIXlD OATE-.-�St� _CT�_10� <br />❑DErOlIT � �� W 0� <br />��-__'-_ NO.__ _—_ -___ <br />SERVIC[ 1w DDeG�I--U ,I.I. -� �_! -��) �_L �`__- —..BLK. - _ _._LOL� .1�-_ADD.-- ___ ._ . <br />OWNE��1.�1- �y�LJi�CONTRACTOR_._.___-_--__ _ ..- . . _ . _ ._ <br />IN6TALL��- CA7EYFRED BERVICE__�` -.../ �-�t_J—.-- -- -_._ . _ __ . . .. _ _ <br />I MEREBY �PPLY FOR 1HE USE OF WATER IN ACCOFDIINCE WI7N �ME / <br />ORDIN�NCES AND POLIqES Oi TNE WATER OEPARTMENT NOW EXISTING ��� /�/ �eY- <br />OR AS S�ME M�Y BE 11F.REAFiER CMANGED •Ioa[o:% /V G <br />MAT[RIIL■ K IN. � IN. � 1 IH. PPICE •MOUNT <br />PIPE COPFEF - GALV. -_STEEL � <br />_—_-._ _ .'_ _-_'.__'____ _._ _-._-'._. __' ' . __ . . I___ __ _- _ _ —_ <br />CORPORATION I � <br />__ <br />' __-. _ _'_ . -'. __�_.. _ _._ __ . . ..__'�. <br />CURB COCN OT ._- __ . __ __ _ _.__.__. _I __ _ I . . _�- . . <br />SEHVICE BOX PLABTIC •- C I I � <br />METER VAWE <br />METER No. TVPE�. I 4 <br />MlTEq BOX CONCRETE 4MALL IARGE <br />_-____ ___- . . _ _.. ._..- _- - .__ <br />__- -__ —I__ <br />ON <br />DATE INSTALLED: �-� �-CJ 6� I OFF <br />COO[ I LAp011 AND [Ot11PMEN f PCN111L <br />�I - <br />II . <br />SUB TOTAL <br />I NOUR! R�TE <br />_- i . _ <br />TOTAI <br />REMARKS'. ' __�LLf� . l�`�J� .cK.7.�7 �- <br />