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APPL, /QD�� Aep!!C�TICV FOR SERVICE <br />No. / 7 <br />CITY OF EVERETT WAT�R DEPT. <br />�9�0� j ��> <br />� DEPOSIT � (G;� <br />SERVICE N� / O 3 <br />ORDER (J <br />DAT� �-�� �� —19�✓ <br />W. o. � . <br />//, ��`e"� r.�-�u. <br />.'/, � �,'� !/ `�,i ,r t'_�,�.�.o <br />SERVICE (nr wD�Resel �-� �� � �-� � ""' BL�LO7'-' � 4/D�.__fS+_� <br />OWNE _ —CONTRACT R <br />iG,1� �.'Ch� L.�h ��1-� ��� <br />�` � FLAT <br />INSTAL � � �'3ERVICF — -- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE / � ,� • <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING �// �/�O'i„ ,� ��� `�'�����=�f . <br />OR AS SAME MAY BE NEREAFTER CHANGED. sicveo: XL i. �_ `tl <br />MATERIALS �/i IN. 1 IN. � 2 IN. � � PNICE AMOUNT <br />PIPE COPPER •- GALV. -- STEEL �I �I I � I <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -- C I <br />CONCRETF <br />DATEINSTALLED: <br />CODE I <br />TYPE: � ;5 <br />SMALL LARGE <br />I � ON <br />� OFF <br />L�90R AND EOUIPME�IT RENTAL <br />REt�ARKS: jeryj,CC 1119t£711P.C1 2I1C1 COC1I7@CtBCl b'j buildor <br />SU9 TOTAL <br />HOURS � PPTE <br />"OTAL <br />