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AP�' ,,����� CITY OF EVERETT <br />No. <br />APPUCATION `rOR WATER SERViCE <br />SERVICE - -' � ' <br />ORDER NO. � . ' � - <br />� <br />DATE:"��-.'� —_19�� <br />� Fixeo r �, <br />� DEPO5IT s J / .�i � N �— ----- - <br />�i���/�r ��i C, �-� C.�/:/�C�.�'S �lV�_BL14.si-r.h LOY�%•1'Z�q�R ��1 <br />SERVICE l8Y/�ODREBBFr— �` - --w------- � - -- -- - <br />/i l <br />7 , �- �_ � ��]=�_CONTRACTOR��� ��l — L - <br />owHsn:' � ��;� �• —1�=;/� -_ <br />�� F � <br />INSTAL ETERED SERVICE.'.-_ -- - ---� -- -- — <br />�._-_ __ p <br />I HEHEBY APPLY FOF THE USE OF WATER IN ACCOROANCE WITH THE � �,�(� �(�//� <br />ON�INANLES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING dIGNE�: X .�CLL(.������"`�----=--- ���� <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MMERUlS--- --- j4 IN. 1 IN.����I �'P� AMOUNT <br />p�pg COPPER -- GALV. -- STEEL _ <br />CORPORATION ___ <br />CURB COCK �T I <br />SERVICE BOX P ASTIC •- C I I <br />METER VNLVE I _ <br />METER ND. ���-' -� TYP I`f I_ <br />E SMALL LARGE � <br />METER BOX CO RET , <br />_' __ __ _. _ _' I.'-_ —i <br />_ __ -'-_—�_'.—, <br />� j <br />� <br />- -t-- -_�-� _ ���� <br />DATEINSTALLED: <br />LOOE I <br />� �� <br />I <br />I <br />� <br />�� <br />__-______ ,_ <br />I � _ ON <br />� OFF <br />LABOR ANO EOUIPMEN�RENTAL - <br />�S O_�-- --- <br />_ __._I_ . _- <br />SUB TOTAL <br />MOUPS � HATE <br />—'I -- -- <br />_ _ __.. - <br />z7 I- - <br />� <br />-- - -_J _ -- <br />TOTAL <br />REMARKS: - --- --- - <br />5 <br />� <br />f: <br />