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. , <br /> No'L' o< oi ��� CITY OF EVERETT $ERVICE � � <br /> APPLICATION FOR WATER SERVICE OftoEft No. 3 4�.� 5 <br /> � FIXlD DAT � �p�, <br /> Op _ <br /> � DErOSIT t 3 �� W.O. . <br /> .�t�_.23-/z� �—, <br /> SERVICE (�Y ADo11ut) `� - LK�LOT—e.�` _ADD. <br /> OWNE �� ._CONTRACTOR <br /> / � F <br /> INETALL�L� ETERED 3ERVIc <br /> I HENEBY APPLY FOR THE LISE—WA7E N ACCORDANCE WITH THE � <br /> ORDINANCES AND POLICIES OF THE WATER DEPAFiMENT NOW EXISiING ����f�j�� � / <br /> OR AS SAME MAY BE HEREAFTER CHANGED. elcNco: X . <br /> MATEq1AL8 �/i IN. f IN. I Z �N• I I Pp�CE AMOUNT <br /> • P�rE � COPpER-- GALV.- STEEL s� � <br /> CORPORATION �'��iOO S <br /> CURB COCK OT I <br /> SERVICE BOX PLASTIC •- C � I <br /> METER VAWE � _ � <br /> METER No. �7 3$ B�SS TYPE: �CrS� I SS _ __ _ <br /> METER BOX GONCRETE �({'I�,SMALL LARGE _� <br /> _ R P- 3 � -- <br /> s o --L�— — <br /> S .�-��u, s "w "ta_ -5 3 I �— <br /> _ I � <br /> i <br /> ON <br /> DATE INSTALLED: S �O�(5O I OFF SUB TOTAL <br /> Q <br /> CODE � LA60p ANDEQUIPMENfFENTAL I NOUP! pATE <br /> I �� I <br /> I �nCo� � 11 <br /> - I �Z � � I�_/I <br /> � �� �37 o I�� -- <br /> _i -- .� 3zS �� <br /> I <br /> I - <br /> TOTAL �� <br /> REM.�RK3: � <br /> � <br /> � <br />