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APPL. /1 � �� /1 <br />< <br />No. -L. v <br />� � FIXED <br />�DEPOSIT S �-C�! : <br />$ERVICE (QY AODaEae. <br />CITY UF EVERETT <br />APPLICATION FOR WATER SERVICE <br />7�__" <br />C <br />OWNER�._!`?.�" /K = _GVIVIItAI.IU <br />Q ��� � � <br />INSTALL.___C.L�.���AETERED SERVIGL ------ — <br />I HEREBY APPLY FOR THE USE OF Wl.TER IN FCCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER L`EPARTKENT NOVV F.;(ISTING <br />OR AS SAME MAY BE HEREAF7ER CHANGk:'J. eIGNED: X <br />MATERIALS Y % �H �II <br />PIPE COPPER -- GnLV. •- STEEL <br />CORPORATIOh <br />GURB COCK OT <br />SERVICE BOX PLASTIG -- C I <br />METER VALVE <br />METER No. `�D � _ <br />METER BOX CONCRETE <br />DATEINSTALLED: G � �' n _ <br />/ 1, <br />COOE � � <br />TYPE: a��,j I 15 <br />SMALL LARGE <br />I � ON <br />OFF <br />AND EOUiPMEN"f FENTAL <br />REMARKS: {�L.I+fYCF+� .��t. AI��}'C <br />GUa y <br />SERVICE /} � -r' n <br />OR�ER NO. `i ` � � <br />D.4TE_���—I9d_�� <br />W. O. � <br />No.___— <br />� <br />PRICE j� AMOUNT <br />SUB TOTAL <br />HOURS 1 fiATE <br />TOTAL <br />