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APPL. � �� L/(7 <br />� No. JQ <br />� 1TIXEU d <br />� DEPOSIT s�DO � <br />SERVICE ter �oonces�J_!/ <br />OWNEF:�L'+y�L -�J,.--C./��e <br />..v �� er <br />CITY OF EVERETT <br />APPLICATION FOR WATER SEFVICE <br />��� <br />I HENEBY APPL1 FOR 7HE USI: OF WATEff IN ACCORDANCE WITH THE <br />ONDINANCES AND POLICIES OF THE WA7ER DEPARTMENi NOW �XISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. etcNeo: X__ <br />M/�TERIALS I� IN. I ��N. i 2 IN. <br />P�PE QS �C COPPER -- �ALV. - STEEL <br />CORPORATION �Qps _ <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE 'C VL"�._ --___ _ . — <br />METER No. �]/%� ��u�S��f�//G TYPE: (.�pG��,Q.%^I `: <br />METER BOX CONCRETF�y} MALL� LARGE <br />---- ----i-- <br />�/' ON <br />DATE INSTALLED: ��-� �� "y� � pFF <br />� _ <br />CODE � LAUOq ANO EOUIPMENf RENTAL <br />_II � <br />-- --- - <br />--� --- - - - <br />REMARKS: <br />I' <br />SERVICE � �� n <br />ORDER NO. . , •. , . <br />DAT � � q+� <br />Ntl� _ <br />ADD. <br />SUB TOTAL <br />HOURS RATE <br />- ���e-� __y K2 <br />_ _C��J��� � �� _ <br />-- �_ <���/-��-��-� I L� �� -- <br />AT7 L..�/I .! /l�— <br />TOTAL <br />AMOUNT <br />i <br />z <br />0 <br />.�-� <br />c"� <br />m <br />�--� .-i <br />-{ T <br />1--� � <br />in x <br />m <br />0 <br />C o <br />m o <br />-i c <br />o� <br />m <br />--i z <br />m � <br />A <^ <br />C <br />D —I <br />.r-. _ <br />--i V1 <br />K <br />O � <br />T � <br />� m <br />2 <br />m� <br />N <br />o r <br />�m <br />C N <br />y <br />'m <br />z� <br />--i r <br />• m <br />a <br />� <br />� <br />x <br />n <br />z <br />� <br />x <br />� <br />0 <br />.�-. <br />n <br />m <br />