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No�'L• !����il� APPLICATION EOR SERVICE <br />� 7 Cli'Y OF EVERETT WAiER DEP7. <br />�FlXED <br />� DEPOBIT s � �� <br />9ERVICE (�y I�pDpFJq�!_IL— �✓LL %'L . .BLK. LOT <br />OWNER �. _ �f�G/� CONrwecma C���C� <br />9ERVICEJ.�O is(rl <br />OP.OER <br />DATE � 2"� _�g�Z- <br />O. <br />o._ _�—_—_ ___— <br />INSTALI 'S (� �LAT <br />MlT�RLD BERVIC� <br />I HERE9Y APPLY FON THE USE OF WATER IN ACCOfiDANCE WIiH THE ���� <br />ORDINAHCES AND POLICIES OF THE WATER DlPAfliMENT AOW EJ(ISTIdG �./ �, . /' 7/- �� �– <br />OR AS SAME MAY OE HEREAFTER GHANGED, elcHEo: X i��_��� LI � ti <br />MAT[RIAL{ _ �w IN.I 1 IN. I 2 IN. � I I I PRICE (I AMOUNT <br />PIPE <br />CORPORATION <br />CURB COCK <br />SERVICE YOX <br />METER VALVE <br />METER No. <br />PLA•3TIC <br />GALV. – STEEL <br />TYPE: � K <br />METER BOX CONCRETE 9MALL LARGE <br />- %�P��_ ��- <br />--� -- <br />-3�-vQ �--- <br />DATEINSTALLED: <br />COUE ', <br />� <br />�ic <br />� ON <br />AND EOUIPMENfRENTAL <br />SUB TOTAL <br />MOURS � RME <br />_"__ �_r��--�_�_ _- _ <br />� - <br />- ---- - -- � <br />___ �-c�.� �%.Z_I�- - <br />- T _ �i,�-- --- -h - --- <br />REMARKS: <br />- --� -� �-¢---- - -�----- �� <br />