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AP.aL . � BER�'�a..E <br /> No. G,3 I CITY OF EVERETT ORDER <br /> APPUCATION fOR WATEH SERVICF: pTN�/— 5 � �. <br /> � FI7CED DATE_.._�1�� -l�/.. f <br /> �DEI'OSIT f �� .% W.O. _ ______ <br /> No.-_.- ______ <br /> � SERVICE ��Y ADo •1-----/-/� ����.BLK.._-LOTVJ _--AD�(�JLL/C6��� <br /> OWNE �T_ .�1-7�Ef\\�-_-CONTRACTOR .__.- <br /> LA <br /> INSTAL� ED SERVICE____ _ ___.-__-_-.- _ _ - - - _ _ <br /> 1 HEREBY APPLY FOR TNE IISE OF WATER IN ACCORDANCE WITN THE ���"�'' ��'-S ��` <br /> ONDIN�NCES ANO POLIQES Of THE WATER DEPIIRTMENT NOW EEISTING � ag� <br /> OR AS SAME MAY BE HEXE�FTER CH�NGED ncH[o: X . �- _ ..� __- _ <br /> MMFRULII 141N. 1 IN. [ 1� I PRIC[ AMOUNT <br /> I <br /> PiPE COPPER_GAW.__STEE�__________ _ I _ _ __ <br /> CORPORATION � � I '� <br /> _____-__ _-- _ - __-._ . ._.._ _.- __ <br /> CURB COCK OT I I <br /> BERVICE BO% PLA9TIC •• C I I <br /> METER VALVE I i <br /> _-_. .____ _ _. . _ _ _ __ -- <br /> _---" -__ ' . __ _ _.- <br /> METER No. TYPE: I � I <br /> -__—__._ - __. . _ _-. _--- _ <br /> METER BOX CONCRETE BMALL LARGE � <br /> _ _ .__ _-_. ._ .- <br /> -__ ' <br /> I I I <br /> -_ _____-'_ _' "_ _ __ . . . I'_ I _ i ..-_ -_-_.- _ <br /> - _ --- __ -._ _.__ -. ._ ' '-. . — <br /> _I— --li___.- __-_ <br /> - <br /> '__ ' _ _ .. --._.___ -' —I._____ ._"_I _ <br /> __._- <br /> __. ..__- -_-'—I__'--'_�-__- ' <br /> I I I . _ . . . . _. ___ <br /> OATE IN9TALLEO: � 1��.J�j� I �� OFF SUB TOTAL <br /> '� a <br /> COO[ I LABOA �NO EOUIPMENf PEMML I HOIIR! R�TE <br /> I C d� <br /> y(J?AG'TdiQ-- - -- -I_- • -- — <br /> —� --_- - I <br /> --- - -- --- - - - -- <br /> � � �----...-- -- - - <br /> � __ - _- --- --_ ---- ----�- -- - -- <br /> —I�-- i <br /> — --- <br /> - -- - - - - - <br /> —I- -_ _ --- __ -}_ _ _ - -- <br /> TOTAL <br /> REMARNS: <br />