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APPL. . I 5O 4 3 <br />No. <br />FIXED �' <br />� 2 <br />DEPOSIT § <br />i <br />SERVICE (BY ADDNES6:- <br />APPLICATION FOR SERVICE <br />CITY OF EVkRETT WATER DEPT <br />SERVICEN2 134,1 <br />ORDER <br />YJ �O. <br />DD <br />OWNER— - <br />Niii. L'—/./ FLAT <br />9TAL� M6TiRfi0 SERVICE n — <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE //2`��� ��i✓� <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXI5TIHG <br />uur UAY RIPHrRFAFTFR ['HANGED. SIGNED: <br />MATERIALS <br />Ip III. I <br />1 IN. 21N.. <br />I <br />PRICE n <br />A�MOOU�IN/T+/� <br />PIPE <br />_ PPER--GALV.--STEEL <br />CORPORATION <br />II <br />i— <br />CURB COCK <br />OT <br />I <br />SERVICE BOX <br />PLASTIC - C I <br />I <br />,/ <br />�✓ <br />METER VALVE <br />--- <br />METER No. <br />TYPE: <br />- <br />METER BOX <br />CONCRETE SMALL LARGE <br />�'? <br />I OFF <br />/ SUB TOTAL <br />DATE INSTALLED: <br />7 <br />CODE <br />LABOR AND Ep UIFM.ENTRENTAL <br />HOURS <br />RATE <br />TOTAL <br />REA!ARI(S: <br />