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�� <br />Na�PL <^ �p�j,Sl CITY OF EVERETT ORDERE <br />APPLICATION � Jit WATER SERVICE N� �`5 41 6 <br />� FIXED DATE_�A �/ �.L_1G�,Z <br />T <br />� DEPO8IT s 5��`� W. O. <br />No. — <br />8ERVICE (�Y �DDecnl—�R�_Q��J�..—L�l—BLK._ LOT ADD. <br />OWNER G Ij�/I �/ f Q CONTRACTOR ��.P/� P/L..�_:�/l1�7J_L��__ <br />� �/1 <br />INSTALL_�__ ETERED�?,ERVIG� __ <br />I NEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMEN7 NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTEN CHANGED. ncHco:X ._ <br />MATEPIALB j4 IN. 1 IN. � 2 IN. <br />rlrE ��� . �� �I__ <br />CORPORATION <br />CURS COCK OT <br />fERVICE BOX <br />MET[R VALVE <br />METER No. ,�j�'R� <br />�ATEINSTALLED: <br />COD[ � <br />REMARKS: <br />PLAS7IC -- C 1 <br />�/f 'I• �! ' � <br />� 1.-y'Zli� <br />�Q��f(�/ I �� OFF <br />P/ ri <br />LA OP �ND EpUIPMEN�f RENTAL <br />PRICE II AMOUNT <br />SUB TOTAL <br />HOURS I p�TE <br />TOTAL <br />