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i <br />�PP�. =� ��'%� �' �� CITV OF EVERETT seavicE Cp <br />No, �- ORDER . 7 � J 7 <br />APPLICATION FOR WATER SERVICE , <br />� FIXED <br />DATE ,�-�_-_-IG_�L <br />��o <br />� DEPOe1T f ��S'� _ No�_ _-__-__ <br />"� � f� p <br />BERVICE I�Y Doen�7_--"-'� _- �S �. �_�-�_-�ll _BLK._ LOT_ �� r ADD./«�- <br />OWN6 � _-�<<��- - _CONTRACTOR_-_ .__ ___ <br />INSTAL �I ' e •LA___. --6E_� / " ti Y�-L �_ __ _-.___ <br />I HEREBY APPL FOR THE USE OF WATEk IN h^_COPD�NCE WITH TNE <br />ORUINANCES AND POLICIES OF THE W�TER DEPANTMENT NOW E%IYTIHG � L <br />OR AS SAME MAY BE HEREAiTER CHANGEO •i [m _. -_ _ . _ . . ____._ <br />M�TERI�I� �41N. 1 I �3 IN. I PI1� AMOUNT <br />I L� <br />I'IPE COPPER -� GALV. -� STEEL I I <br />__ .. _ _--_'__"' ___ _'_._ _ ___-'_ I___ <br />'_ _i_'__'__-__`__ _ '___ _. <br />CORPORATION __ __ __._ __ __i_ .___ ._ _ <br />CURB COCK OT I TI I <br />_ -- _ _ __ <br />SERVICE BOX PLA9TIC -- C I I IJ _ <br />_ -_- __- _ ___- _ ._._.-_ <br />_.__ - _'__. <br />METER VAWE <br />-- - . _ . _ . _ . . _ . _ . ._ - " . -'_ I _ <br />I -- '__ ___- <br />METER No. TYPE: � �. ' I <br />METER BOX CONCRETE SMALL LARGE I <br />_ _--_.. . _-__. _ ___ ____-_ ____. __. _ __ <br />I <br />__ -____-__ ___.--_ __-_�._ _.._-___'_ _-I'- - 1_ __.. _. _'_. _ -_ - <br />__-_ _ '_ '-I' _...__ .__ ._'_ _- <br />'_� � � - <br />-jI-- - -_ ' "- <br />- ___'._ .--- -_-_I'_ -I--�____ __'_ <br />_ _' - <br />- _______'___ _ __ __ . _..___ _- _ -__I _ _-_-_ <br />..___I.____ _-_ _-_-_.. <br />-_- I I i I <br />i <br />- ON <br />OATEINSTALLED: I � OFF �� f/ SUB TOTAL <br />CODC i Ll1bOq AND EOUIPMENf RENT�L I MOUR6 R�iE <br />I 933 � I <br />--� ----- --- -- -- - --- - - - -I - _. - - <br />— -�to�cTiori - _ —_�— - -- — — <br />— --- .4�lIU�e-i�kcu�.:nrvice � --- -- - <br />� � <br />-- — -- _ .._.. -- � _ - --- — --- <br />--I------- - --- - <br />i - — --- -- <br />TOTAL <br />REMARKS: ��� 7 C�f S U <br />�, i. ai �. i.n r. C^ rti ,-. i 1:- . V <br />