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APPL. /J i7�/�6 <br />No. O��'� Y <br />� FIXED ' 0� <br />� DEPOSIT �,�J` <br />J �- � <br />SERVICE ([jY�ADDPE�7 �� <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />v / �� j � � <br />OWNE 2qr-✓�� ¢- - --��NTRACTOR <br />� <br />INSTAL���///� METEREO £ERVICE—__ _.. ---- <br />I HENEBY APP�1' �OR 7HE USE OF WA7ER IN ACCOflDANCE WI7H THE <br />OR�� ASAME M.� BELIHEfi[A 7ER C ANGF DEPARTMEN7 NOW EXISTING BIGNED: X'� <br />MATERIALS ii IN. I � IN. I 2 IN. <br />P�PE COPPER •• GALV. •- STEEL _ <br />_ -_ _-I�— __I <br />CORPORA710N -- — <br />CURB CO�K OT —i — <br />SERYICE BOX PLASTIC •- C I — <br />METER VALVE __ —._ - <br />METER No. __ _TYPE: _____ I__'�_ <br />METER BOX I:ONCRETE SMALL LARGE _ <br />- —_.--� I___�-- <br />� <br />DATE INSTALLED: <br />CD�E I <br />REMARKS: " <br />----7-�.-�-_ <br />I � ON <br />� OFF <br />LA�OR AN� EOUIPMENf RENTAL <br />C <br />i <br />SERVICE ^ �... . ('} <br />ORDER NO. � "- � <br />DA7J�_ ��� 1 B.L� <br />W. O. <br />No._ — -- <br />pNICE <br />SUB TOTAL <br />IIOURS I RAT[ <br />TOTAL <br />C <br />( <br />:. <br />tii <br />F- � <br />U. ' <br />r <br />r '. <br />r_^ . <br />r' <br />� <br />r; <br />