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APPL���/ � <br />No. • � <br />� FIXED � <br />� DEPOSIT S O <br />SERVICE fer D E88) � <br />ON/� i �S. . �t- � � <br />�FLAT <br />..�_,..,� <br />�C:T'f OF EVERETT ORDEIRE NO. i l�J�j <br />APPLICAT�ON FOR WATER SERVICE �y <br />DA,TQ��_191�"" <br />W.O. O <br />N o. <br />� C%=��'7r-�"'�—,PJ���BLK._ LOT._��ADR�_ <br />INSTAL ERED SERVICE_ <br />I HE�lEBY APPLY FOR THc USE OF WATER IN ACCOflDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />ON AS SAME MAY BE HEREAFTER CHANGED. s1�HEn: X. <br />MATERIALS ji IN. 1 IN. � 2, <br />� <br />PIPE COPPER -- GALV. -- STEEL iy <br />CORFORATION <br />CURB COCK <br />SERVICE BOX� <br />METLR VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -- C I <br />TYPE: � � <br />CONCRETE SMALL LARGE <br />I fq' ON <br />DATE IN5TALLED: / G1 �/ Li� p%�ji � OFF <br />r J <br />GOOE I LABOR AND GOUIPMEN'f RENTAL <br />I `. t%7/�4iL JG/f <br />REMARKS: <br />SUB TOTAL <br />HOUftS � RqTE <br />TOTAL <br />AMOIINT <br />� <br />� <br />