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ArrL. 2�O D "7 g CITY OF EVERETT BERVICE <br /> N� APPLICATION F()R WATER SERVICE oRCER Ne - 5644 <br /> � FU([D DATE_�CS 1gIP� <br /> � DEPOfIT �_ NoO. <br /> � lERVICE (�YAODl1u�) ����� L�APM�t1_�+ BLK._ LOT�ADD.�pp�_ <br /> OWN[ �Q CONTRACTOR �G1CJOd (-6YLS7�'�.__.��__w __ <br /> Fu <br /> IN6TAL � RED BERVICF <br /> I HEIIElY APPLY FOR THE USE OF WATER IN ACCOROANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER OEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED, ncNco: % � -_ <br /> MATERIALt Yi�N. 1 IN. � 2 IN. � PpICE ♦MOUNT <br /> rlrF COPPER•-GALV.•-STEEL _ _�� <br /> CORrORAT10N � <br /> CURS COCK OT I —� <br /> 5[RVICE BOX� PLASTIC •• C 1 I <br /> M[TER VALVE <br /> M[T[R NO. 7YPE:--- I �g ------- - -- �-- -- <br /> METER BOX CONGRETE SMALL LARGE <br /> —�I _-- <br /> __I __ <br /> I <br /> I <br /> � o� I I <br /> DATE INSTALLED: � �1.� U I �OFF SUB TOTAL <br /> ( 7 <br /> COD[ I LABOp ANDEOUIPMEN'fRENTAL MOUR9 pATE <br /> � .l�.A�-T�.P � <br /> I � <br /> � I - <br /> ' n i_ 3�12�__- �- --- <br /> i � <br /> I � <br /> TOTAL <br /> REMARKS: <br />