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x q <br />� ; .. <br />'�4 �J�.:,��iRl r..�y� <br />. J.:v1:';'L. <br />/� SERVICE � �� � �'3 <br />APPu��'Zi�/`r C1TY OF EVERETT ORUER N0. .,�%-t��- <br />No. . qppLICATION FOR WATER SERVICE �� -�-19-7i <br />DATE -f- <br />�IXED n � <br />� DEPO3IT s�(���� . N Oi �✓/ VT� . <br />SERVICE (BY AODPE98)J= J—��. `? � �'� �� g�K C� L =�-�ADD. . ���� <br />OWNER�LA�`— ����-���_�� CONTRACTOR — <br />INSTAL ETERED SERVIC �� <br />i HEREBY APPLY FOR w IN ACCORDANCE WI7H THE � ,/ /' O <br />._ __. _........ ..� r� .rro nccARTMFNT NOW EXISTING � l� ti;�. ��cl l i 1a CA-r.n.ti!' _. <br />AS SAME MAY BE <br />PIPE � , _ <br />CORPORA710N <br />CURf7 COCK <br />SERVIGE POR <br />METER VALVE <br />METER No. � <br />METER BOX <br />IRATERIAI-S <br />COPPER -- C.ALV. -- STEEL <br />i Ub� <br />P�LA5TIC -- �G 1 <br />�" 1 <br />i5 <br />E <br />( �� ON <br />( L%/ � <br />DATE IMSTALLED: � f I!/ �'�' OFF <br />f i <br />COOE I ' LADOR AND EpUIPMEN�f RENTAL <br />REMARKS: <br />IN. I I IN. � 2 IN. <br />PRICE II AMOUN? <br />SUB TOTAL <br />I MOl1Fi5' RATL <br />� I fI .I <br />.ti%�"J> <br />.� � � � � - <br />f/ _�_w <br />--r -- <br />S `7 3 _�-� <br />=. � t I�__ <br />.:�-t: <br />� � <br />�OTAL <br />