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No'Lp(SO/� f"'1 CITY OF EVERETT �� � <br />APPLICATION FOR WATER SERVICE <br />� FIX[D <br />� DEMOSIT s t% Q � <br />�� �� r---D <br />lt11VIC[ c�r wco^ �s�� � __�����o.��BLK.__ <br />OWN[ ' �• 0 CONTRACTOR_ <br />// <br />INSTAL�__MET[RED sERVIGE — <br />I XERESY APPLY FOR THE I15E OF WATER IN ACCORO�NCE WITH THE <br />ORDINANCES AND I'OlIC1E5 OF TME WATER DEPARTMENT HOW EXISTING <br />OR AS SAYE MAY tlE HENEAFTEN CHANGED. eicN[n: X� <br />MATERIALS �4 IN. I IN. � 2 IN. <br />rIPE .�( S 1L COPPER •- GALV. •- STEEL '] I <br />CURB COCK OT <br />SERVICE BOX PLA� <br />METER VALVE <br />METER No. ___ <br />METER BO% CONCRETE <br />DATE INSTALLED: <br />COO[ � <br />REMARK9 <br />- CI <br />TVPE: � }S <br />SMALL LARGE <br />IYf ON <br />� %1'��J 1" <br />� OFF <br />v� <br />LABOR ANO EOUIPMEN�fRENT�L <br />� I � <br />, .J e- <br />I <br />ORDEIR C N,OA. 4� O J <br />DATCT�I� —1� <br />V <br />W. O. <br />SUB TOTAL <br />NOUfl! I RATE <br />� <br />