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, APPL. � p�� C� <br />No. / / <br />�FIXED <br />� CEPOf1T • '%j C) J <br />SERVIC6 t <br />OWN[R-. <br />� <br />CITY OF EVERETT <br />APPUCATION FOR WATER SERVICE <br />TO P��TlIdG ^PR 2 o'ss�� <br />%4D -//9- � � �/-7�8, <br />ORDER E/ NJ� / / B / <br />DATE._.✓-..�--.-1 O� <br />W. O. <br />No.__ _ __ _'_ -_— <br />BLK.. LOT <br />// LAT <br />INSTAL� METEPED RVICE_____ _ -- -------- <br />I HERElY APPLY FOR THE USE OF WATER IN ACCORD�NCE WITH THE <br />ORDIN�N[ES AND ►OLICIES Of iHE W�TER UEPIIRTMENT NOW E%ISTING <br />OR AS S�ME MI1Y BE MEPE�FTER CN�NGEO ����E�� <br />M/�T[NI�L� 1L IN. 1 IN. � <br />PIPE �� GOPPER..GALV.-_STEEL�Iu,3.___. _� __ <br />CORPORAT�ON .' �QpZ��� ._ _�J .. _ _- __K-_2___ <br />CURB COCK O�IZSQ/ ��JO��/�/�/7_'%. ____ __ -I _- _ i^ <br />SERVICE BO% PLA4TIC �- C7Gc� 3�D6 �/�i.__ _I__�_ <br />�� VALVE .$�-y3 yb . I --{I-+- <br />,���y,�.�,, J`�% I I I <br />�'i"vaw�'•OGU�. Z./ / TYPE_ . . I �' . . . /_ _{ _ __ <br />METER BO% d CONCRETE SMALL LARGE I __ <br />�—����"��y7 i f _'— <br />_ <��aP�� -X �'L_z y'7 %-' — <br />6cz/-8�y7_ --------- _�J_ <br />�zry2 _ _ - I - ' ! <br />�/a ,ig/�.�y7__ ___ _ — -- ---- �____ � <br />�t�� ON <br />DATE INSTALLED:� �_ q� I n OFF <br />/ <br />COD[ I _ L�90R AHO EOUIPMEHf REHTAL <br />__ 4 ��_..�.� .. _.. <br />i �,% --''1 _ ___ <br />__G�� - <br />�-11_`7_ - --- <br />-----�-� S - -- -- - - <br />-��1 y - ---- <br />I <br />_i —_— <br />REMARKS: <br />-. . �r <br />� ' <br />L%W`<�L�_ rt--- <br />I I PRICE iI �M�UNT <br />__.�L__-_ <br />SUB TOTAL <br />HOUR! � R�TE <br />NO ACTION - I - -- - --- <br />_ --.�� --- - --- --- - <br />Will be taken_on_service 1----- -- --- - - - -- - <br />- application6 without a i <br />__ __ .._ __ -.._ <br />4ckflow Prevention Consl�Itatin� - <br />TOTAL I <br />_�>� �_ o,_/oz81 _ %��s_�S <br />