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nPr��. a )0�3 <br />NO. <br />�r•ixEo <br />� nePosir s ��j�- <br />SEiiVICE (BY ADDREBB\ <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />L��{'l LAT ' -P �7�3S�Y <br />INSTAL RED SERVICF <br />1 HENEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES A"� POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME Mn. BE HEREAFTER CHANGED. e1GNED: X <br />M/�TERIALS - �/i IN. � IN. i 2 <br />y <br />PIPE COPPER -- GALV. -- STEEL V <br />CORPORATION <br />CUR� GOCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -- C I <br />TVPE: � ?4 <br />CONCRETE� SMALL LARGE <br />OI CKD .�1 oN <br />�-� DATE INS7ALLED: p/2 E Fi�S ��! �G � OFF <br />C�i��� L660F AND EOUIPMEN'f fi£N=AI <br />I � <br />�-W <br />SERVICE <br />ORDER � ' 6 <br />DATE__��_L..Z! �19� <br />w. o. <br />No. _ <br />�LIADI➢,S.(�f_{,L� <br />/J �� <br />PHICE <br />SJB TOTAL <br />HOURS I RATE <br />TOTAL <br />REMARKS:_Sew�f# ;L�pg9p <br />AMOIINT <br />