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APPL.���37 CITY OF EVERETT SERVICE <br /> No. . ORDER �� � <br /> APPLICATION FOR WATER SERVICE <br /> DATE— 1G <br /> � FIXED <br /> �DEPOSIT� NOO. — <br /> SERVICE (�v AD •> ` / <br /> _F D�� N BLK._ LOT�ADDr-+��""��dD� <br /> OWNE LC�K CONTRACTOR — <br /> ��/� AT <br /> INSTALL_� RED SERVICF . <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE M,I7H THE �C��c�' <br /> OROAS^SAME MAY BELIMEREAF7ER CNl1NGED DEPARTMENT NOW EXISTING eIGNEO: X . - - <br /> MATERI�Lfi �,G IN. 1 IN. � t IN. I I PA��E �MOUNT <br /> PIPE COPPER-GALV.--STEEL � <br /> CORPORATION — - <br /> CURB GOCK OT _� — <br /> SERVIGE BOX� PLASTIC -- C � I_ _ — <br /> METER VALVE ___ _— ----- -- <br /> METER No. TYPE: I 'S _ __ ____ - -- <br /> METER BOX GONCRETE SMALL LARGE _ ____ <br /> I <br /> I I <br /> — -- — —I <br /> _ -- �_ <br /> I _i �^� <br /> � I ON <br /> DATE INSTALLED:d����P � OFF SUB TOTAL <br /> � 'q <br /> COOE � L�BOR AN�ECUIPMEN�fRENTAL I NOURS R�TE <br /> I - -��Ra��--� — <br /> i t - <br /> i � � __ - �-- -- <br /> I <br /> � -- --- I <br /> I � <br /> — TOTAL <br /> REMARKS: _. <br />