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�PP�. y��f/S`� �ITY OF EVERETT <br />'No. c APPLICATION FOR WATER SERVICE <br />' FIXED <br />.^ DEPO3IT s �`f � � ry <br />� <br />9ERVICE �sv � o�e����� �r`�� /� �- 3a�-�' � BLK.. LO7 <br />OWNE ��t� ��� CONTRACTOR <br />Y � LAL---�-� <br />INSTALI �_—NETERE�V�CE�--- <br />I NEflEBY APPL'I FOR THE USE OF WATER IN ACLORDANCE WITH THE //////�� <br />OADINANCES MID POLICIES OF THE WATER DEPARTMENT NOW E%ISTIHG BIGNED:X. � <br />OR AS SAME MAY BE HEflE�FTER CHANGED. ��. <br />MATERIALS I Y' IN. � �N• I 2 �N' <br />-- �I / / ( <br />p�p S �� �� COPPER •- GALV. -- STEEL _ <br />COR OR7tiie '< ��/,Z�i i:.=�� <br />CURB CQCK OT _ <br />SERVICE BOX PLASTIC -- C I � <br />METE � 5�������1_J _—_'._�1�� <br />�! ?r�.�J✓-i.�'j �) VPE: _ I `f <br />� u' l�_ ' <br />METER BO% CONCRETE _ _SMALL (�ARG <br />_/ <br />r '):l :�'Lf��`:` 7'Ti ".%: i <br />DATE INSTALLED: <br />GODE � <br />7 � F_?o O �a <br />REMARKS: <br />H ': <br />J <br />� ON <br />Gi ` _90 p� OFF <br />v rn <br />LABORANOEOUIPMEHfRENTA- <br />�.,,i <br />7;� <br />� <br />SERVICE �v0 6 9 2 7 <br />ORDER <br />DATE 7 �L1--�8 /C, <br />W. O, <br />PpICE �I �MOUNT <br />SUB TOTAL <br />NOUPS � AATE <br />TOTAL <br />