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AFPL. III..R'T L,� CITY OF EVERETT <br />NO. �� W <br />APPLICATION FOR WATER SERVICE <br />❑ FIXED /,, ^^ (� // <br />❑ DEFDSIT IS 1/I �I 51- 111 {'1 IP IQI/ST1I `NG-- <br />SERVICE (MY <br />Aoo��R"uR1L1��--l...t1-(�j—J�Ib—A/'LL�-F/K—BLK__ <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED SIGNED: % <br />SERVICE A <br />OROER NO � L <br />DATE__(�.DGIS <br />W. O. <br />NO — <br />MATERIALS <br />% IN. <br />I I IN, 21N. <br />pm.ec <br />AMOUNT <br />PIPE <br />CORPORATION <br />CURB COCK OT <br />_ <br />I <br />SERVICE BOX PLASTIC •• C 1 <br />I <br />METER VALVE <br />METER No. TYP m N <br />1 <br />---111---"' <br />METER BOX iGMGRCfE�'�5��1"LARGE <br />e-O, <br />— <br />OT� <br />11F� �¢rrEi2 <br />� <br />—i <br />— <br />— <br />GATE INSTALLED: n <br />/ <br />ON <br />OFF SUBTOTAL <br />CODE LABOR AND COUIPMEHr R[NTAL HOURS <br />----LTr�r�11� <br />.2I <br />__ a�3'1n --aR39 <br />I <br />I <br />RATE <br />- - <br />TOTAL <br />REMARKS: <br />