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• <br />Yc�� r✓ � � '"C7'T7'OF EVERETT <br />SERVICE � '.• q � <br />APPUCATION FOR WATER SER� ICE ORDER NO. ;.� •! 1 <br />� FIXED �p DAT66�P��� _�p� <br />� DEPOEIT f O � <br />�—_— W. O. <br />SERVICE <br />/ <br />NO. <br />999 .�% %J.7�.�/� /7 �9;� <br />u��'-'.T���LK._ LOT q p,_ <br />Q� / CONTRACTOR__ <br />"`oi�� " _ ETERED SER'yfC <br />I HEREBY APPLY FOR THE USE OF W11TER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTIH <br />OR AS 50.dE MAY BE HEREAFTER CHANGED. <br />�� MIITERIAL6 w <br />P�PE COPPER -• GALV. - STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLAS7IC -- C I <br />METER VALVE <br />METER No. G' S 3.S TVPE: �'�.� � — <br />ME7ER BOX CONCRETE SMALL LARGE <br />� ON <br />DATE INSTALLED: �2 _��.- J r� � OFF <br />CODE I _ LA60q AND E0111PMENi RENTAL <br />REMARKS: <br />G BIGNED: X C� K/f��_ <br />IN. I IN. I 21N. I I_ � I PPICE �� �MOUNT <br />SU9 TOTAL <br />HOURS � P�TE <br />