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APPL: '7 ��! �d <br />No. �'� J � <br />� FIXED d <br />� <br />� DEPOSIT s_�QQ— <br />SERVICE ( <br />OWNER% <br />1 HEREBY AI <br />ORDINANCES <br />OR AS SAME <br />PIPE <br />CORPORATION <br />CITY OF EVERETT RDHRE NO. <br />APPLICATION FOR WATER SERVIC° - � �� ' <br />DATE� �__�Azz <br />W. O. <br />�}/� No.__ <br />/ / f�U <br />l(i.e.�' %�.-s.�-��. /�J �// /J <br />y.-L—.LOT� AD ' _1C'��_✓ <br />/n A/• <br />�`----'�"-� CONTRACTOR______. "'��'�'Y`T � <br />FOR THE USE OF WATER IN ALCORDAfICE WiTH THE <br />POLICIES OF THE WA7ER DEPAR7MENT NOW EXISTING <br />tiE HEREAFTER CHANGED. 81cneD:X __ _ _'/�� _ _ <br />MATERIALS ?i IN. I 1 IN. � 2 1N. �i_ I I PqICE �� AMOUNT <br />_ OPPER - GAW. -- STEEL ��� ` � � � I �-��� <br />URB GOCK� OT / <br />SERVICE BOX PLASTIC •• C I � <br />METER VALVE <br />METER No. _ TYPE: ___ I �S <br />METER BOX CONCRETE SMALL LARGE <br />? — <br />=.� � 9/— % �!�'-�./_'� S' D .� /� --- — I ( <br />(;jt� ON <br />DATE INSTALLED: /� ��8� 7% � OFF <br />CODF i _ �A90RANO EOUIPM[NTRENTAI <br />REMARKS: <br />SUB TOTAL <br />HOlIRS � qATE <br />/' <br />