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A�PL �0 3 33 <br />No. � <br />-�� G -.�. �� <br />FIXED <br />> <br />� DEPOSIT S r2? �— <br />SERVICE (S%ADDRE66) °'��' <br />APPLICATION FOR SERVICE <br />CIT'Y OF EVERETT WATER DEPT <br />t <br />OWNE `--/Lli. 1_-9 -i.n/ != :li.!�['!�- -LIGC:C_ _CONTRACTOR_ <br />J �� � ' <br />INSTALL � METERED SERVICF — <br />1 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 HEREAFTER CHANGED, s�GNso: iN���--• <br />M,ITERIALS }i IN. 1 IN. I �2 IN. I <br />PIPE _ COPPEf2� •- GALV. — STEEL %/ � I I <br />�— <br />CORPORATION <br />CUP.B COCK OT <br />SERVICE 30X PLl�STIC -• C 1 <br />METER VALVE <br />METER No.�jC�'�-v- �9�3/�. ���+ TYP�fi <br />METER BOX CONCRETE ��-"�''ti (! <br />DATE INSTALL6D: `^ <br />CODE � <br />IARGE <br />I � ON <br />�OFF <br />LApOp qND EOUIPMENT RENTAL <br />SERVICE NO (� / � <br />ORDER` ) <br />� � <br />DAT , .,'%ic • � -� l'_18r , �, <br />W. O. <br />No. _ <br />g7<`.,� .� <br />)T ADD� <br />PRICG O AMOUNT <br />SUB TOTAL // . i/// <br />MOUHS RATE `T� <br />�_ . G � { , <br />� l �l !i' I� //� � . . <br />�� � <br />� �� �����; /� �; - <br />� �—�' TOTAL II ��C� �' / <br />REMARKS: <br />—__ _.___—_.__ <br />� � _,�C��� ___ ___'-- — '.— '_—____--_—_�_� <br />" -_ —"'_ __"_ --_ . � <br />