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APPIL. TO <br /> No. N07 APPLICATION <br /> OF EVERETTNu SIHVICEND 893 <br /> APPLICATION FOR WATER SERVICE / ORDER / 8 <br /> �XE � <br /> D lgq63 DATE-LQ-�.--�Llp— <br /> 0 DEPOSIT 0. <br /> SERVICE (MY ADDDRESS)—l�7 _- h jt'L) BLK.. LOT-!L ADD��/fN 4F-- <br /> ;—( <br /> OWNER 0Co 0111`}' CONTRACTOR <br /> 3/Y � —_—____ <br /> FLA� <br /> INSTAL!,�, .Y.M EET RED�egVICE <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �i <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIGN RDx. _ lit <br /> MATERIALS Y IN. t IN., Z IN. PRICE AMOUNT <br /> PIPE COPPER•• GALV.-• STEEL <br /> CORPORATION <br /> CURB COLI' OT I — <br /> SERVICE BOX PLASTIC •• C 1 <br /> METER VALVE <br /> METER No. ---- — TYPE: <br /> Nom.--- - . -- <br /> METER BOX CONCRETE __- SMALL LARGE <br /> DATE INSTALLED: C] OFF SUO TOTAL ) <br /> CODE I / LASOR ANDEOUIPMENFRENT HouR9 RATE <br /> _ ---- NO ACTION - <br /> -- WIII be taken an ewnlrw _ <br /> applications without a <br /> - -- •^+ von Inn Lor.sUltatiol <br /> I <br /> TOTAL <br /> REMARKS: <br /> ry <br />