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!i <br /> I <br /> APPL. �LC , �( BERVICE <br /> No. CITV OF EVERETT ORDER c <br /> APPLICATION FOR WATER SEHVICE �+� <br /> A- FIXED DATE.. _ _ .1�5. -��u10�_ <br /> � OEP051T f r['� _I< <-__ W. O. <br /> -._. _ __._. .. <br /> eEqVICE ��YAOGII[UI—__J-OIc� .. /_��—M�--�/�. __ .BLK __ _—LOT ?- �._ADD �[.'��_i_/—C`Jf_ <br /> OWNER <br /> ��, �, �U...LL�L�-3-I/I/L� - -.—. _ ___CONTRACTOR. -�yl(�Ur.� '-. <br /> __ __'—_ <br /> RUN�NCE��CIES OFEDSERVICE_. - . . _ '_________ ' �') 7� _ __ _. _ __ . �(}� I <br /> I HEREBY APPLY FOR THE lISE OF W�TER IN ACCOFDANCE VlITN TNE /�` 7���� � �"�-�O9Lt/'«?!�q <br /> NE WATEH DEP�AiMENT NOW EXISTING <br /> OR 115 S�ME MAY BE MEREAFTER CH.�NGED slcnEa: % ��'1',_ ���M,� � . . <br /> M�TERIALB 4. IN. 1 IN. � = IN. I PRICE ' •MOUNt <br /> PIPE COPPER - GALV. •- STEEL I �', _ <br /> —_. -.. . _ . __ ._. ._ ' . __ ' —__- -_._ . ' <br /> CORPORATION I ��. <br /> _._ _._ __. ..___ .. . .. . . _ _ . ._ — --__ _ —. __ <br /> CURB COCK OT i <br /> ____--_ ___ —__ _- ___ _.__--�—_ — __ _. _. _ <br /> SC•.RVICE 80% PLASTIC -- C I I <br /> METER VALVE <br /> METER No. iVPE I �. � � <br /> _ _. _—_ _ . . ._ _ ' —_—i_ . _ __ —_. <br /> METER BOl( CONCRETE SMALL LARGF �. <br /> _ — . _ —I _—'__ .. _ __ —_ <br /> __ .__ _ . � _ —_L— . _ . <br /> I <br /> ' '—I __._ . . . _ _ __ —' <br /> — —_— '—'—I __ . ' . __ . _ __ _ <br /> —___ --' _ _ . —_ — — : ._ . ._ _'_- _—_ <br /> . . _ _. '—_ —I_ _.J_ . _ _ ' <br /> —_'—" _ . I — I , . . _ ___ _ <br /> DATE INSTALL.ED: � I r-I Fp SUB TOTAL <br /> COO[ � LABON AN�EOUIPMENf pENT�L HOt1R1 11�TE <br /> � _ _L•�%''�,�i�I)�j('/1 -. _ � . _ ._. . <br /> ' _ <br /> � -- �3Z3��� 1 _ � - <br /> � ! <br /> --'- - - - _ _ __ <br /> I I <br /> TOTAL <br /> REMARKS: <br />