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i <br />/JIC � �IDXr� _.L, �J�ail 3 Y Y I <br />, AP�L. ��� CITY OF EVERETT BERVICE <br />�ho.' ORDER <br />APPLICATION FOR W�T[F; SGRVICE � �YS77' <br />� FIXED OATE.____ _.���fo <br />� DEPOSIT � W. O, <br />No.___ _ - _. _ _ _ " .'__' <br />SERVICE (sYADDIIu�)��„qJ._IlOS_� �(-�__ __BLK. _ _ LOT ADD. J <br />OWNEfi-__.��1�J.ci�[,i ____._. _-..____._CONTRACTOR-.-.KvrHJ�l��IK.J.� .JJ�C.Y•G1WlL!V <br />' . <br />/) FLAy--�-�� <br />INBTALL��-MC4r.ecn�RVICE_'_ _ ___ -_ .________. ___.___"".. _____ _ ._ __ _ _ _. ..__ <br />I NEREBY APPLY FOR THE USE nF WA7ER IN AC[OPDANCE WI7H 7HE <br />ORDINANCES AND POLICIES Of TNE W�TF.R DEPARiMENt NOW EXISTING 1 <br />OR AS SAME MAY BE MEREAFTEN CN�NGED ncH[o�.% r . . _.._ ____ <br />M�TERI�L• �4 IN. 1 IN. i P IN. � PRICE �MOUNT � <br />PIPE COPPEq -- GALV. -- STEEL I � <br />._—_ _"" --__-- <br />_.. _ � __- _- __._ .. I <br />. —_-_I . _...' __-_ _'— <br />CORPORATION � <br />_-__ ___.-_ .___ . _- - _____-.. _ - ' I - _ , ._ J -_- _-_ � <br />CURB COCK OT <br />SERVICE BO% _'_ PLABTiC " C I�--�_�'- _ __ I -� <br />METER VALVE <br />_—_. . .__- .._ � __ .___- <br />— _-_ <br />METERNo._�'S�� TYPE:�+7�,eC.IS10/YI.�S- ___. ___ _.. . <br />_. _.- <br />METER BOX CONCRETE SMALL LARGE � <br />-______ �_ <br />- _____-___. _._ . . . _ ._ .. .i . <br />� ON I <br />DATE INSTALLED: �-�U�9d I �-� OFF <br />COD[ I LABOA �NO EOUIPMENIRCNTAL <br />_, .-�'__._. . .. <br />REMARN9: <br />SUB TOTAL <br />-�I RATE _ . _- ,.__ — <br />� <br />L <br />