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� , i <br />.. � <br />APPL. � C CITY OF EVERETT <br />No. !2 (� � <br />APPLICAiION FOR 6YATER SERV�CE <br />�IXED <br />� DEPO IT �_'J�'"'.^s• � <br />( l� <br />' SERVIGE Isrwonnn�) ��3-� ���"- "'- C' —e <br />� <br />1 <br />FLAT <br />INSTAL 3 METERED 9ERVICF <br />I NEREBt APPLY OR THE USE OF WATER iN ACCOPOANCE WITH THE <br />ONDINANCES ANO PbLIC1E5 OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEHEAFTER CHANG60. eicNao:X__ <br />i <br />MAT[RIALB ii 1N. 1 IN.' Y I-N. <br />PIPE Q A C P COPPER -- GALV. - STEEL L�� I <br />COhPORATION (.�(j(,L')� <br />CURB CCCK OT <br />uERVICE BO% PLASTIG •• C t <br />ME1'ER VAWE __ <br />METER No. TYPE: I Sf <br />METER BOX GONCRE7E SMALL�LARGE <br />i_ . s' .. ./��i.� %;/.d �/nA /iQn�C J! <br />�( ON <br />/// j� � <br />D.1TE INSTALLED: S i� }(O � OFF <br />V <br />COO! I LAOOq ANO EOUIPMlHf RENTAL <br />� <br />_ REMARKS: _ _ ____ <br />I j = _ l —fORC1.If.N �i�«r <br />- uT�����.� <br />�l`=_' ' <br />� <br />RDERE NIo. 3305 <br />DAT�_io� <br />/ � <br />No�� — <br />1 __��� <br />rRIC[ <br />SUB TOTAL <br />NOURS RATE <br />3, <br />3 �� <br />x t� <br />� �l ' <br />-- ��? - ' <br />,, <br />�/ ��1-2i- �1� <br />