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AFT <br />No. ZG 7 -1 I CITY OF EVERETT SERVICE <br />NO. APPLICATION FOR WATER SERVICE/ 0 5 60 <br />FIXED /,'�',�J/ORDER <br />`/ DATE$NI 9-4 <br />DEPOSIT s / 1Z I �� W. 0. -- <br />Nco.L�/—P�/l SJoI-I I SERVICE (By AooBUB)I BLK._ LOT_7J�ADD.nWd/IE �/ *P �nNL <br />OWNER_ 1-,Illn /�!A[�l�!' CONTRACTOR --�— <br />INSTALL�_FLAT — <br />RED SERVICE <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANLE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED:X. <br />PIPE <br />..cnin�e <br />COPPER -- GALV. •- STEEL <br />'A IN. <br />I IN.I <br />21N. <br />� <br />-I�•—. <br />I <br />PRINT <br />CORPORATION <br />—� <br />CURB COCK <br />SERVICE BOX <br />OT <br />PLASTIC -• C 1 <br />METER VALVE <br />ee <br />1 ' <br />METER No. <br />TYPE: <br />s <br />METER BOX <br />CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />G��J� iTr7 <br />ON <br />OFF SUB TOTAL <br />El <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />am' <br />e,7 <br />TOTAL <br />REMARKS: <br />