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APPL. � / 2O 50 ;�ppLf-ATION FOfl SERVICE SERVICE �: � 2 � � <br />No. ' OROEIi�` <br />�'�.�,�G, C1TY�OF EVERETT WATER DEPT. ' -� <br />, � , �J <br />� FIXED C;� � /� �-C= 7Z(-�.�L'--C_�i DAT =/ �X_��19/l <br />� oEPosir S /Cl ��Y—�' w. o. <br />----f/- No. <br />✓ <br />�% r <br />SERVICE (BvncoREss) / � -�' � � r � 6LiC.__LOT °DO, <br />-o,WNER _ _ / y�TRACTOR <br />�1���.'C(� �7��/. FLAT <br />1C/5'r� ' i �N�fh-�SISSERVICE_--- � <br />I HEREBY APPLY FOR THE USE OF WATFR IN ACCORDANCE WITH THE .� <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENi NOW E%ISTING � <br />OR AS SAME MAY BE HEREAFTER CHANGED. SI�N[c: X/� ' �4ii:._�`�-'�" � <br />��_' -_— <br />IAATERIALS �i IY. 1 IH. � 2 IN. � ..FR <br />P�PE �COPPEFi-- GALV. •- STF.EL I%J% ��I� I I I _� <br />� <br />CORPORATION <br />CURB C6CIC� ( 07, <br />SERVICE 80X PLA <br />METER VALVE <br />METER No. <br />METER BOX CONCRETE <br />DATE INSTALLED: <br />/ ' <br />cooe � <br />-- C I <br />TYPE: � ?5 <br />SMALL LARGE <br />C <br />.'�r� I �--7 OFF <br />LAo�R AN� EGUi'•MEN'i RENTqL <br />i <br />�y SU� TOTAL I {�l� <br />i <br />I HOURS RATC <br />� � � �. ..,_ � 7 <br />REMARI<S: � ,� <br />r <br />/ � ���"/-i ��� —( �, L•_t�-.LQ:-���— <br />' �Lt_� L .�_ <br />._.__"__' _.-`�(^ / 7�����/_._r_. ._. l� !.. ^ /� <br />�1 <br />. .:.. _'___''"__. .._. <br />�i <br />