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� <br />� <br />'�'PP�" r� (�� � � ! CITY OF EVERETT <br />No. �1Y7�'-I <br />APPLICATION FOR WATER SERVICE <br />� FIXED 1 p 1 p <br />� DEP091T�� Cpa�Gl OYj ��f�Glf,/CC��T C�!3/� <br />SERVICE (ar wnnnuI�)�,�7Z �,/ �� ��' ✓PreN i�'�tII �BLK.__ <br />OWNE�L�.�1�C�A"Q CONTRACTOR_ <br />� " �-� � ' <br />INSTAL� �FT� ERVIC LiQ-SP/Ji� �L V- VGu �� <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER OEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE HERE�FTER CHANGED. B�cr+co: X._ <br />MATERIALS iG IN. 1 IN. � 2 IN. <br />� / I/ <br />pIPE COPPER - GALV. -- STEEL Y� <br />GORPORATION ' <br />GURB COCK OT a(LFlss cJy1�'ec.J'H � I <br />SERVIGE BOX� PLASTIC •- C � I <br />METER VALVE � _ f%AX'j Fts C� A L t _ <br />METER No.'; l� G/ ��ASS7YPE:�� I`S � �_ <br />M E T E R B O X C O N C RETE SMALL LARGE <br />� <br />A.t� y I � <br />EL. G- <br />DATE INSTALLED: ��� �� N'7 I � OFF <br />GODE � L�BOR AND EOUIPMEN'f RENTAL <br />REMARKS: <br />•lf <br />SERVICE <br />ORDER No - 5 5 5 8 <br />, c.� <br />DATE_.��_IZ_—� 9J7� <br />W. O. <br />No. — <br />PHICE II AMOUNT <br />SUB TOTAL <br />HOUHS � p�TE <br />II <br />TOTAL <br />