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�C• t <br />ArrL. ��� 1 <br />No. <br />� rIX[D <br />� D[rO�IT f t� <br />�[RVIC[ t�� Apq�q�)-� <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />I MEII[�Y A►�LY FOR TXE USE OF WATER IN ACCORDANCE WITN TXE <br />ORDINIINCES AND ►OLICIES OF TME WA7ER DE►AIITMENT NOW EAISTING <br />OR AS 511ME M�Y tE HEIIEAFTER CNANGED. naH[o: _ <br />Y6T[111�L{ I i4 IN.I I IN. I= IN. <br />rlr[ GOrI'ER •- GALV. •- STEEL <br />CORMRATION _ <br />CUR� COCK OT _ <br />•[RVIC6 BOX PLASTIC •• C 1 <br />i <br />MQT[R VALVt•' <br />MtT[R No. ���__` <br />. M[TEII COX GONGRETE <br />� - <br />DATE INSTALLED: L,: 13 <br />J <br />REMAPKS: <br />r,� � c � y �.� <br />TYPE: ___S <br />SMALL LARGE <br />ON <br />�� CI GFF <br />1 <br />IMOR �ND EOUIPMENT RENTAL <br />/� <br />ORD[1RE NU 6236�-y� <br />DAT[_—_S]C1S.L-U1.1J- <br />W. O. <br />�e✓r�r.f�C_�.�s-L �-- <br />� ►IIICE j� AMOUMT <br />SUB TOTAL <br />NOl1R! I 11ATE <br />