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pPPL• . � ���� APPI.ICATION FOR SERVICE <br />IVo. � <br />�9J-�� CITY OF EVERETT WATER DEPT <br />�C( FIXED <br />wl <br />� DEPOSIT ��J��_ �� <br />/� 0 <br />SERVICE (BVAODaess) ��� ✓ '1"�` ���� _BLK.��_—�� <br />�� „ <br />OWNER_ --- CONTRACTO�� <br />�� FLAT <br />INSTAL `�M�6ERVIC� _—_ , <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDpNCE WITH THE <br />ORDINANCES AND PG.ICIES OF THE 1VATER DEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. Slcneo:X_ <br />IdATCRIALS �?i IN. � t IN. � 2 IN. � <br />PIPE (COPPER -� GALV. -- S7EEL <br />^pRPORATION � <br />. fURB COCK t�- �OJ� <br />,S'ERVICE BOX PLASTIC -��C�J <br />METER VALVE <br />METER No. TYPE: I �„v <br />METER 90X CONCRETE SMALL LARGE <br />� ON <br />DATE INSTALLED: _ , �=OFF ' � <br />/n - - <br />CODE I LARJR ANp [qU1PMHNi PENTAL <br />SERVICE N� z % 3 <br />ORDF� ' <br />�� %i —7 <br />/ ' �—�_19'—f— <br />W. �J. <br />Lv� <br />PpICE � AMOUi�T <br />SUB TOTAL <br />MOURS ' RATf <br />'� � <br />TOTAL <br />e <br />',..i �_�_ _'______ _ _'-__' _ <br />� / <br />