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Y HHx"ti <br />tHAx <br />H H <br />C W <br />Ho <br />� <br />HyC <br />O� <br />H CCyy7 <br />H � O <br />� oz <br />H_H <br />H <br />C] t7 Vr <br />t4 <br />z0ti <br />F3C CA <br />{ <br />No. LX (y J`E" <br />CITY OF EVERETT <br />\' APPLICATION FOR WATER SERVICE <br />p FIXED <br />❑ DEPOSIT s ��// 1� <br />I Sr:RVICE (SY AAODRESS)0��''Tu L� r �� 16 `� <br />I HEREBY APPLY FOR THE USrZrWATER IN ACCORDANCE WITH THE J <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �l <br />azll <br />..n Ac CAUV uev .F uco Fe FTC. fNINf.FD SIGNED: <br />SERVICE <br />ORDER <br />DATE—_ <br />D 53 lb <br />� LR-18 <br />W. O. <br />MATERIALS <br />I IN.I 2IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE �(`! ✓-�!_))L�-Co �E---.�.'.. �.-- <br />CORPORATION <br />CURB COCK OT <br />� <br />rY41N. <br />—� <br />- <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE 23' 3-3 <br />METER No. TYPE: <br />METER BOX CONCRETE SMALL <br />LARGE <br />sD-7 3— <br />RA55 /7as�•%� <br />_ <br />— <br />;�i1iJ..a out s`7 <br />7 <br />I <br />I <br />DATE INSTALLED: �} <br />u• <br />I <br />d ON <br />❑ OFF <br />SUB TOTAL <br />CODE LABOR AND EOUIPMENr RENTAL <br />HOURS <br />RATE <br />���--JJJ <br />— <br />TOTAL <br />REMARKS: rtVC ST OF S7-i4 990 i0',-otrr14 OF -i;t 3 I -IN <br />