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APPL. ,L.,az� CITY OF EVERETT <br />NO. �'vT� <br />��.7Z !' APPLICATION FOR WATER SERVICE <br />(O <br />� FI%ED / <br />� DEP031T s (Q�� <br />3ERVIGE (�vwon�u�1 ����J �-�"�-rw Ea�lv� BLK._ LOT <br />SERVICS <br />ORDER o 6 0 3 2 <br />DATE_�.9 19�. <br />W. O. <br />INSTAU �� `L IdET�RED SERVICE--- , <br />I HEREBY AFPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICtES OF THE WATER DEPIIRTMENT NOW E%ISTING �y� <br />OR AS SAME MAY BE HEREAF7ER CHANGED. alcneo:X.�-+-1-�.Q�Y`�'--- <br />M�TERIIIL6 i4 IpN. f IN. � 2 IN I I PRICE AMOUNT <br />PIPE 2�JUboby7 COPPER•-GALV.•-STEEL /�7 _�I__�� <br />SERVICE BOX <br />�� <br />METER No. <br />PLASTIC - C 1 <br />GoJ� 1/�IY^�-__ <br />'T <br />Trre: � �s <br />SMALL LARGE <br />� <br />G' <br />DATEINSTALLED: <br />COOE I <br />n Nf ON <br />-3 �� � I I� OFF <br />V <br />LAOOR AND EOUIPMEN�fRENTAL <br />REMARKS: �'a�'� LOY'P' ���A % N• EI /� p�� <br />.�t.�/ .,-„ n.v�.,- bu�c . �7 be•fWea� <br />C• <br />SUB TOTAL <br />NOURS ' RhTE <br />K <br />