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SERVICE 4 51. 5 <br /> / CITY OF EVERETT ORDER LIQ• <br /> ADPL. a �{, O S <br /> NO. APPLICATION FDF; WATER SERVICE DA ,/'Jg_-�7 —IB� <br /> FIXED W. O' <br /> No.— <br /> Fj DEPOSIT 5_-60 ��QQ <br /> !/ BILK.._--LOTI�—ADf)•_-__?� Z <br /> a <br /> SERVICE ([Y ADDRESS) �._--�— '•� <br /> CONTRACTOR n <br /> OWNER—� // <br /> INSTALL-. <br /> 1 HEREBY APPLY FOR THE USE HE WATER IN ACCORDANCE WITH T [IONIC: X <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING PRICE AMOUNT 1-+-i <br /> OR AS SAME MAY BE HEREAFTER CHANGED. III IN IIH IIN �� N m <br /> MAT[RI'• 'S p <br /> PIPE COPPER»GALV.»STEEL m <br /> -I c <br /> CORPORATION — I I_— <br /> CURB COCK OT I f=Tt~ <br /> PLASTIC <br /> •- C I " <br /> SERVICE BOX PL .-------'-- ycy= <br /> METER VALVE <br /> i S <br /> TYPE: _ 4---- <br /> METER <br /> ----METER NO_ <br /> METER BOX 1 ----- 1n <br /> CONCRETE SMALL LARGE _I -n <br /> n <br /> rn <br /> C N <br /> Im <br /> b <br /> I ON SUB TOTAL A <br /> ,r-- OFF -I <br /> DATE INSTALLEC. ••[i2 HOURS RAT[ n2• <br /> ����- •J LA,OR AND LOUIPM[Nf RINTAL �p z <br /> CODE _1LjI oe <br /> 1 V <br /> m <br /> TOTAL <br /> REMARKS: — _--------�— <br />