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APPL ! � Q/� Ait: LICATION FOR SERVICE <br />No. E l (� <br />CITY 9� EVERETT WATER DEPT. <br />/,�1 �L•'�' � � <br />� FIXED `.: = t�U_,{ �-1-�� � <br />� p �11,t:�. •----� <br />DEPO5IT s ) / �� Ji� <br />-„ / <br />���•�' i��' �1Q')C�f F C'/ BLK. LOT <br />SERVICE (BY ADORE591 . <br />WNER T_ CONTRAGTOR — <br />,� <br />�^•�`�� 'J�if � FLAT �Cf �L. �=''�'-:r ` "-% 4: �. C.JL.d_l`fr,�:l,:. <br />._{y�s,=qu _METERED SERVICE_L.-- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE ./ <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING sicNEo: X—C2��-."7'�C� <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALe � � �N. I 21N. <br />SERVICE N� U 7 2 <br />oROE�, ,, <br />� '9�--l�- � _�sl� <br />DATE � ` <br />t <br />W. O. <br />�( 7 {� <br />/LA�.�Ll-f-f�f� /�.R�:l.y.ti�i(., <br />PIPE <br />CORPORATION <br />SERVICE BOX (_?Lc= <br />METER VALVE <br />METER No. <br />METER BOX CONCRETE <br />DATE INSTALLED://^ <br />CODE � _ <br />_i��� <br />�I <br />� <br />REMARKS: <br />GALV. •• STEEL <br />-- c i <br />TYPE: I �� <br />SMALL LARGE <br />�� I � OFF <br />LABOR AND EOUIPNENT RENTAL <br />►J <br />i+RICE AMOUNT <br />� � <br />—� I �JI_. <br />�� J��_ <br />SUB TOTAL <br />HOUR6 I RAT[ <br />� . <br />