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APPL. � 2.3 �'` CITY OF EVERETT <br />No. J <br />APPLICATION FOR WATER SERVI(;E <br />� FIXED � <br />O <br />� DEPOSIT s O � <br />SERVICE �ar noo [sel�`� � — BLK.I <br />OWNER____�� - ��< < CONTRAI:TOR_ <br />'�/ // � <br />INSTALL—L�— TERED SERV�CF <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HERE�FTER CH�NGED. elcNEo: %._ <br />MATERI�LB jG IN. 1 IN. � 2 IN. <br />PIPE �' LG COPPER •• GALV. •- STEEL <br />CORPORATION '-f ISOO _I_ <br />CURB COCK OT � _I_ <br />SERVICE BOX PLASTIC -- C I � I <br />METER VALVE <br />METER Na _ TYPE: __ _I �4_ _ _ <br />METER BOX CONCRETE SMALL LARGE <br />�(/So73 � �— <br />►".�c., 1 Y,c `' I.�,sO _ G a�+./� S 7_ I <br />^' I � ON <br />OATE INSTALLEP: �� � � '� y' ; OFF <br />lJ <br />CODE I LABORANOEOUIPMEN(PENTAL <br />REMARKS: <br />SERVIGIC -1 i J 9 <br />ORDER NO. ��} .l. • 1' .f. <br />onr�:c_o2�__19 9-Z <br />W. O. <br />No. —y <br />�Ii <br />3 <br />PRICE I) AMOUNT <br />SUB TOTAL <br />� XOUPS N�TE <br />� I 'L-i-- <br />� � �( <br />�._ -.__ <br />r i �{ �� <br />s I y �,- --- <br />S I LI 11 _ _ <br />TO7AL <br />