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� <br /> � <br /> APPL. � BERVICE <br /> No. �1/ .I fr''�� CITY OF EVERETT ORDER <br /> APPLICATION FOR WATER SERI ICF <br /> � °��} 66 <br /> ���'IXED N DATE __'__.._LY � '_10...� <br /> \(.��. <br /> � DEP061Ts�'-___ No�— _. _______ ____ <br /> BERVICE t�Y�oG11n�1—I�\'I / I' '.L�� �1_.�.. ____—.—___BLK..___ _- LOT-,lJiJ AD �1.C.�C�IGl�S6 <br /> � /�� �' 7y9�, <br /> OWNER� ��Ll�<� riG�_ — --_CONTRAr_tOR _��1..LI! 2_— . __.�� _ __-._� <br /> INBTAL (��ETERED SERVICE__.. _ —_ -__-._— ��` ���� //�� /� <br /> 1 NEREBY IIPPLY FOR THE USE OF W�TER IN ALCONDANCE WIiH THE F-�- �� � W <br /> OXUINANCES AND POLIQES Oi THE WATER DEPARTMCHT NOW E%ISTING � .y�� <br /> OR AS SAME MAY BE HEREAFTER CNANGED. ncHeo: X � /L . <br /> M�TLRI�L! �41N. � IN. i' IN. i PR� �MOUNT i <br /> _ _-�__ <br /> PIPE COPPER-•GAL V.-� STEEL <br /> .__ __ _. _----___—_. _ . _ . _ .. . . _ ._.. _.—,_ <br /> CORPORATION _ ______�I � <br /> — —._ __..—_—_ -- __ . _�_ . _ __.. <br /> CURB COCK OT I �' <br /> --__ .__—__.___..._.__—_.________—_ -- � . <br /> SERVICE BO% PLABTIC -_CI_'____ I . . . .._ . .� —_._ <br /> METER VAWE � . _ <br /> METER No.__. ___. _ TYPE: I ,. — �— _J_ �'. _.. _ _ _ <br /> METER BO% CONCRETE �MALL LAHGE . � I _ <br /> —. _ _ .. I ___ . _ � <br /> -- �, - -� - - -- - I <br /> - - _ - - - -- - --�- --�- � <br /> � <br /> - - - - - -- - <br /> -- --_ _ - __ _ - -- _ - -�--- - -- - <br /> � __ <br /> _ _ _ _- -�--i--;- _ - <br /> DATE INSTALLED: y /� �� I `� OFF <br /> SUB TOTAL <br /> COO[ i LGBORANOEOUIPMENIFENTGI � HOUP1 RATE <br /> I I <br /> _- - . ._. . ___--__ _-__ .__ ' _ . . __-._____. . <br /> � � <br /> ' __--_. _ . . _ -__. . . <br /> --, U_'�Z�c /!�'1 -- ----- - - <br /> �------ / <br /> � — - -- <br /> —i_-- _._- ._ - -- <br /> —I _� <br /> TOTAL <br /> R�MARKS: <br />