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` APPL. a S'�� / <br />No. <br />� FIXED <br />'O <br />� DEPOSIT �DO � <br />SERVICE cer woqp[ee� �/� <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />_BLK._ LOT <br />) � � FLAT <br />INSTALL—L— RED SE C —___ <br />I HEREBY APPLY FOR TH USE OF WA7ER IN ACCORDANCE WI7H THE <br />ORDINANCES AND POLICIES OF TtiE WATER DEPARTMEN7 NOW EXISTING � <br />OR AS SAME MAY BE HEREAFTER CHANGED. e��n[o:l�_ <br />M�TERIALS }i IN. I IN. � 2 IN. <br />PIPE UTA C i! COPPER -- GALV. •- STEEL I Y1 I <br />CORPORATION rJ / � O�1 S <br />CURB COCK OT <br />SERVICE BOX PLASTIC -• C I <br />METER VALVE �UZ3=(.fL�y LlJ <br />METER No. �� LGf� L _ �fUSf%(,TYPE: <br />METER 90X [GONCRETE ( 5 <br />�I '� <br />LARGE <br />L 3 ���' "' <br />,��0 165 ' � c c�,rSQ. �rw�-� S� <br />'�j{ ON <br />DA7EINSTALLED: �� 7� S S I � OFF <br />CODE I LADOH AND EOUIPMENfRENTAI <br />I <br />R�MARKS: <br />1 <br />�� <br />SERVICE " <br />ORDER :VO. ' �� �'- � � <br />DAT�� ( —18�� <br />W. <br />G- � //'��f`- �ilaa. <br />/O..�i�"A"�" .�% i <br />PRIGE j� AMOUNT <br />SUB TOTAL <br />I HOURS R�TE <br />�I_�-.—I � � <br />'�LOO i'% � (o L' <br />• `�-� I �O N <br />_3 50,�� �' � _ -- <br />b8� Z I � <br />-- —� <br />-- �----- <br />TOTAL <br />Z <br />O <br />� <br />c'� <br />m <br />.. .-. <br />--1 T <br />(n S <br />v <br />m <br />co <br />m o <br />��o-- <br />�� <br />m <br />A � <br />n --i <br />r x <br />--i V1 <br />K <br />T <br />O A <br />T n <br />� m <br />S <br />m� <br />N <br />O <br />o r <br />c-i m <br />c in <br />: N <br />'m <br />z� <br />--i r <br />• m <br />n <br />z <br />� <br />x <br />a <br />z <br />� <br />� <br />N <br />Z <br />O <br />-1 <br />Cl <br />m <br />