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�PPL' 1�r�� � APPLICqT10N FOR SERVICE SERVICE jVo 1 5 <br />No. �, <br />�O<oF' �—OF EVERETT ATER DEPT, DAD %�,������ / <br />FIXED /� ,�,/ <br />/ / <br />� DEPOSIT S�D � / "�%/C.L G�L�"'Le—_ "� . �� —ie�- <br />�` W(Oy <br />Nb <br />SERVICE (erpooacss�__�._��� ���'c� BLK. LOT—� <br />�OWNER DD._ <br />����"��� ��/ •� FLAT C�NTR�ACTOR <br />'^P'-^'= - � H+LFi�f�ED SEHVICI <br />I HEREBY APPLY FOR 7HE USE OF WATER <br />ORDINANCES AND POLICIES OF THE WATER <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />PIPE <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />MATERULS <br />ICE WITH THE <br />NOW EXISTING <br />s�r,n[o: X_— <br />_ �!5 IN. � I IN. I 2 IN. <br />OPPERr- GALV. •- STEEL L� <br />I <br />�— � <br />ASTIC�•- C I <br />CONCRETE <br />i; <br />� <br />2' i- : .:+ <br />TYPE: I ±� <br />SMALL LARGE <br />:> <br />DATE INSTALLED: � <br />__ � ' 3 I -� I ❑ OFF <br />CODE I ��BOR ANO EOUIPM1ICNTRENTpL <br />� (�n_,.,: - <br />I — <br />_I�� <br />�--- <br />� C C'; �G �" G- // o<r <br />- <br />i G ' .F, � �' F, -- <br />� 3a /o " �� 4 f------- <br />REMARKS: <br />PRICE �� AMOUNT <br />SUB TOTAL �� �7= <br />1 / <br />HOURS pATE <br />� 3.53�� 21. IS1 <br />� I <br />�— z�'� i � i Izi <br />� � <br />I; <br />0 <br />