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No. <br />FIXED <br />Cj <br />DEPOSITS � 6 <br />C41TY Of EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER NO. <br />DATE;'/C <br />W O. <br />No <br />SERVICE (BY ADDR EDD)--i1�-y/7(,t`�� <br />-BLK 1.07 ADS. <br />OWIiER—_. — ).T"�'+_v _ & �Z <br />-{ . f�------- _ -CONTRACTOR <br />INSTALL _L_M TERED SERVICE__—_. _ <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING 1' <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED <br />PIPE <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. _---.__ <br />METER BOX <br />MATERIALS I41N.I I IN. 2IN.' <br />COPPER -- GALV. -STEEL ��_I <br />OT <br />PLASTIC "" C I I—+ <br />-- TYPE: <br />CONCRETE SMALL LARGE' <br />PRICE <br />- - <br />AMOUNT <br />' <br />DATE INSTALLED: <br />! , I -, <br />o' <br />J11 <br />F <br />ON <br />OFF SUB TOTAL <br />COD[ LADCR AND EQUIPMENT RENTAL HOURS <br />RATE <br />c ^ <br />/ <br />_ TOTAL <br />j' <br />' cmnnno: <br />