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APPL, ti � (• ��� I � APFLICA7?ON FOR SERVICE se�wce {v° 'I ,°i � �) <br />No. ORDER <br />; i-_� � CITY OF EVERETT WATER DEPT. � <br />� FIXED DATF ' ' ___�g_ <br />� OEPOSIT 5_ / � ! . W. O. ' <br />—_.i . � Na. _ <br />� �� !i , <br />SERVICE (er pooness) � ' � � " � __DLK. LOT ADD. __ <br />OWNER_ _GONTRACTOR. <br />I.. � �� , . _..,� . FLAT . - � i _ _ n . . <br />IN9TAL�.. ,i ,.: •.. %, . . ,. --. , i .- . . . .. �. ,; . ' . , - i �' <br />—METEi?ED SERVICE_ � ' -' <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH TH'c � y-� <br />ORDINANCES ANO POLICIES OF THE WATER'DEPARTMENT NOW E%ISTING — ' - <br />OR AS SAME MAY BE HEPEAFTER CHANGED. slcN[o:�-- " �'`� - �,C�. <br />ldATEFIALS LIj��H IN. 1 IN. � 2 IN. � I —PpICE -�- 4MOUNT <br />PIPE COPPER � GALV. -- STEEL �,lf ��I�I ~ �_ �."] II i a l r i� <br />__� <br />CORPORATION <br />T-- <br />CURB COCK OT <br />SERVICE BOX �p q�. <br />MET.ER VALVE � <br />METER No. <br />METER BOX CONCRETE <br />-- C 1 <br />TYPE: I ;y <br />SMALL LARGE <br />DATE INSTALLED: � ` { ` �C, I � OFF <br />i <br />COOE I LAOOR qND EQUIPMENTR[NTAL <br />REM..ARKS: <br />�• <br />SUL' TOTAL L// �(� <br />J <br />MOIIRS �R—ATE <br />C;. `7� � � � �i �l�a <br />�i � <br />( � �.r � oi JD <br />�i � j U <br />7oTn.� <br />i� <br />