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APPL 7 � G� �� <br />No. < <br />�L'71 FI%ED <br />gu <br />� DEPOSIT � <br />SERVICE ter woon[�ci <br />I T / <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER <br />N° 5844 <br />onre_(� �L�/_ t e_ <br />( C-�'J No �_ <br />/,� /�o�l Jn-i�rc�fYl Ac1 <br />LK._ `�' LOT ADD. ,�/�V�YN_�____ <br />'OR <br />INSTAL�METERED�6ERVICF �P_IL�S <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � <br />ONDIHANCES AND POLIC�ES OF THE WATER DEPAR7MENT NOW EXISTING <br />OR AS SAME MAY eE HEREAFTER CHANGED. eIGNEo: X._ <br />MATERIALS }�' IN. I IN. � 2 IN. <br />n <br />PIPE Y [C COPPER--GALV.-•STEEL /_�� <br />CORPORATION � <br />CURB COCK OT � <br />SERVIGE BOX� PLAS7IC – C I I <br />ME7ER VALVE <br />METER No. �,28� <br />ME7ER BOX CONCRETE <br />r/ <br />�L /ev�hc S�r-��c2 c <br />� ss � �� � <br />c�""'77 � <br />l�t-:2SS S�'i�rn� <br />v �..�...... ��,�..,��...�� <br />DATEIN57ALLED: <br />CODE I <br />� <br />�rc; <br />l,G MALL <br />�."Tnp l <br />L <br />`fi <br />�iv� w�c(�+n AYf ON <br />�ZQ rCUJO ;�`OFF <br />LAOOR AND EOUIPMENfHENTAL <br />REMARKS: P'F11D Pfi,(� ;Z ��S�j('/�7�.��. <br />►J <br />1'--_—._.— <br />PHICE I� AMOIlNT <br />SUB TOTAL <br />HOURS RAT[ <br />S ' _�J�._. <br />.T �� I i3 <br />2r38 li� <br />3�sc5 � r 3 <br />G�� li3 - <br />2z��15 <br />TOTAL <br />