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APPIAZ •,� I // APPLICATION FOR SERVICE o 0o No. SERVICE N_ 1 O V I, <br />CITY OF EVERETT WATER DEPT. ORDER <br />Q FIXED <br />DATE -3 -7Z-_S_. <br />DEPOSIT S -^ <br />SERVICE (By ADDRESS) 21 Ze <br />fL./t-La,Y1� - -t�'vy <br />p� - BLK. -'LOOT` ADD.A(-0:✓B- <br />OWNER ''�`�./AialJ /ilI -S CONTRACTORS-E�' <br />INSTALL ` FLAT <br />SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH 11 <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW 1'EISTINE OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: <br />MATERIALS Y� IN. 1 IN. I E IN, <br />IC[ <br />PIPE COPPER -- GALY. -• STEEL AMOUN- <br />CORPORATION _ ---- <br />-CURB COCK OT <br />SERVICE BOX PLASTIC •- C 1 <br />METER VALVE <br />METER No. TYPE:._ <br />METER BOX CONCRETE SMALL LARGE <br />ON <br />DATE INSTALLED: 7 n; �- / I OFFj ��SUB TOOTA <br />CODS I /]� <br />NUJyLAHOR AND HDUIPMHNT RENTAL <br />110UR5 RATE <br />rr <br />REMARKS: ��J <br />