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NoPL ����� CITY OF EVERETT ORDER E NO. � I�� � � <br />APPLICATION FOR WATER SERVICE q'; <br />FI%ED DATE . .�_� 19 �1_ <br />❑ DO <br />� DEPOSIT S ��O �� No.--. — ____., _ ._. ._ _ <br />—.q_ — <br />SERVICE �ev�o0�[ ; �/" _ _�S'^'V�_. � .�/.,l..y — BLK._—___LOTI!D AD�1"`^`�— <br />OWNER._!C%�__..� ��i�_.CON7RAr,TOR__—_— —_—__ _— <br />INSTAL � � ,/ � <br />L.��I__METERED 9ERVICE. . _ - _ -- _.—___ ��___. _ ___ _ .__... . <br />r � / <br />I NEREBY APPLY fOR THE USE OF WATEF IN ACCORDANCE WITH THE ' /Q !'u P `O <br />OFDIN�NCES �.YD POLICIES OF THE WATFR DEPARTMENT NOW E%ISTING \ l� <br />OH AS S�ME MI1Y BE HEHEAFTER CMANGED. s1aH[�:X, _.—, __ ____ . <br />__" -. .� —__'— <br />MATERI\LB 4� IN.' 1 IN. ¢ �N, I � PpICE AMOUNT <br />PIPE COPPEIi -• GALV. •- STEEL _ ���� � _ <br />__ _— . _ _"— ___ _—__ --__-- '_ _ _ <br />— _— __ <br />CORPORATION <br />____.__'.'__'__--'— —_--___—___—'----_ —_ <br />CURB COCK OT I I <br />SERVICE BO% PLASTIC �- C I I �, <br />METF.R VALVE _.__ . ._. _. . . _ — ---_..I .. _ _..— _—_ —. <br />METER No. TYPE: I •�{ <br />METER BG% CONCRETE SMAI.L LARGE i <br />'—____'_._ _ . _ _. . . —_ _. .. _ _.. — <br />---_--__- _—__— .__._ _ __ _— I—�I .__ —___'._ _ <br />_ '_i_ �—_�— _ _ — <br />DATEINSTALLED: <br />coo� ; <br />REMARKS: <br />u <br />____"—__—__'_ .— _'__ <br />_ __. <br />'—'__"'_.._"—'._____ .. .—__ __— ._..__--I'_-_ I—__ _'_'___. <br />� I i <br />""�� p2 ON <br />�—Z I� p ) I � OFF SUB TOTAL <br />L�BOP �NO EOUIPmENfRENTAL NOUp! q�TE <br />----_ - -- -- ----- ------Tz�_!.LNK --- <br />--- L. C,�, w�_ I_1 �� <br />---- <br />- - --- _ <br />-# �44� 1 ! " <br />-- ----- I-- -- --- <br />- �SD�� D J ---- -� - --- <br />