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APPL. I �3�3 <br />No. <br />/%��3 <br />� FIXED <br />n `� <br />� DEPOSIT §� <br />i <br />SERVIGE B ^qoaese) �� <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT <br />OWNER �� /^"�"� l� : 2S`>-�f�7 � CONTRACTO� <br />/'� /�-}�E1PP � <br />INSTALL�—METERED SERVICE --- <br />I HEI7EBY �PPLY FOR T:{E USE OF WA7ER IN ACCORDANCE WITH THE <br />ORD SASAME MAY BEL�HE EAFTER CHANGE D DEPAPTMENT NOW E%ISTING 61Gt�E0: X <br />MATERIALS �/� IN.I —1 IN. I 2 IN. <br />p�pE �OPPER� GALV. -- STEEL _� <br />CORPORATION � — <br />— I <br />GURB COCK OT � <br />SERVICE BOX PLASI'IC - G I I_ <br />METER VALVE / — <br />METERNo.33��_g�_({�1/1TYPE:_ I 'e _�_ <br />METER BOX CONCRETE SMALL L6.RGE � �_ <br />� ON <br />DA7E INSTALLED:,a _ � L% (, �/OFF <br />fOOE I LAOOR AND EOUIF:AENIRENTAL <br />REMARKS: _ ___ ___. ------ <br />SERVICE �v� 3 � <br />ORDER �J <br />DAT�i�^'" JS � 1g� <br />w. o. <br />/Cy/-�7!ei � ✓ i '"�:1.`""'�-4.� <br />i i—�., <br />C'l-i''p"" 1; u.'�. <br />�•� — <br />. I I PPIGE � AMOUNT <br />SUB TOTAL <br />HOUR9 I FATE <br />-} � �• ��,- <br />TOTAL <br />