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APPL. / �/ 2 APPLICATION FOR SERVICE <br />No, <br />CITY OF EVERETT WATER DEPI <br />❑ FIXED If <br />vfr/> <br />SERVICEM 1689 <br />ORDER <br />OATE.._,L./_L--1 B 7 � <br />I DEPOSITS <br />lr7 LD7 �fJ.P.�S/P/.0 C� BLK -LOT --- DD <br />SERVICE (BY ADDRESS)'— <br />OWNER ql�i 27Y 6 T w CONTRACTOR <br />IN57AU _.-METERED SERVICE <br />I IIEREBY APPLY FOR THE USE OI" WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THI: WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED <br />MAT ER AL.S <br />IN. <br />IIN. <br />EI <br />PRICK <br />AMOUNT <br />PIPE COPPER -- GALV. • STEEL <br />CORPORATION 414 Ng I <br />_ <br />CURB COCK OT <br />_ <br />SERVICE BOX PLASTIC •• C 1 <br />METER VALVE L. IA n Kt h 14 -11 rn 4e -- <br />-- <br />-- <br />— <br />_ 2671 Iri'le" <br />METER No. TYPEI c R <br />METER BOX CONCRETE SMALL LARGE <br />it M 1 <br />_ <br />nnLtS. <br />Y ' hl ep ja.rG IIc i <br />—�_ <br />T S <br />L7 ON <br />DATE INSTALLED: (Z - 12' J 2- I ❑ OFF <br />SUB TOTAL <br />COOL LAEOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />A�17s— <br />y._]----- <br />-- <br />-- ---t- I' "{--- <br />t r )i e d I <br />--- - <br />- <br />'4 m a l l" l 1, <br />TOTAL <br />