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APPL. � �'" 3 <br />NO• '='�.L' �!_ a CI'I'Y OF EVERETT <br />APPUCATION FOR WATER SERVICE <br />,� FIXED <br />� DEPOSIT s 7� 7L�, Lr' <br />SER1'ICE �er nooncesl� � G� L7�(�l(��_ <br />�� � BLK._ <br />OWNER_.f!LZi:�LI .�__��?���iL�� �7 ____CONTRACTOR_ <br />l �' FLAT - <br />INSTALL3 ����E_�_ <br />I HEREBY APP y FOR THE'V4E-0E--WATER N pCCORJANCE WIiH THE <br />ORDINANCES AND POUCIES OF iNE WA7ER DEPARTMENT NOW E%IS71NG <br />OR AS SAMC MAY BE HEREAFTER fHANGED. ei�NEo:X <br />-�-��_ <br />��' MATERIALS --_ ij IN. 1 IN. � 2 IN. <br />-P�PE � T�C� COPPER -- GALV. -- STECL � <br />_.e_'_ <br />CORPORATION �� —�- ----- �V '-�— <br />- ��� L��G='-�--�'—='':� <br />, CURB COCK ) OT l�/,�j'����T�Tt. � I I <br />SERVICE BOX �,p3fj�'� C �---- � i <br />METER VqLVE <br />METER No—__--_—. .. _ 7YPE: __ -____.-I .� —_ — <br />METER BOX CONCRFTE SMALL LARGE � <br />o,. — —___--__ <br />0 <br />I � ON <br />DATE INSTALLED: �.:+ "'. ;'�'� � OFF <br />CODE I L�QOH AND Epl11PMENf RENTAL <br />SERVICE <br />ORDER NO. .. .. <br />DATE�� �±� __ 19 � �1 <br />✓J. O. <br />V o. <br />, <�r - ���, z. <br />PRICE <br />SUB TOTAL <br />HOt1R5 I RATC <br />_— I : . / � —_ —_ I_L <br />___---. _ _- _-- _- _ • � _ _ '_ ^J <br />( 1 '. �-�' _c'' ii� I ( <br />! f v <br />• �/,�/—_ -IL <br />l—f -I! - <br />--- - - ---- - --�l"-�--'----� .� <br />REMARKS: )/�—L., �` tI�7 �_fO f_// <br />--S L� <br />� <br />C�i -'�'- ,. O _ L � , �-.l_ <br />Torn� I <br />%� �_ e J e Ll__N.f-�_L- =/-Le �/ <br />_ �, j <br />��*-' <br />