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AP�,� `l� I pPPLICATION FOR SERVICE <br />"°. � . CITY OF EVERETT WATER DEPT. <br />rz- ; <br />� FIXED ��7��u�-�L� <br />/ 7 <br />� DEPOSIT s n , / ' <br />n <br />� <br />SERVICE (BY �DORees) �� ��� � BLK. LOT <br />CONTRACTOR <br />OWNER <br />'i . �' �1.T <br />INSTAL� �'"� METERED SERVICE— <br />1 HEREdY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �.(/� � <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING $�GNED; X�""—' <br />OR AS SAME I+AY BE HEHEAFTER CHANGED. <br />'_'___..... I�/i IN.I � IN. � 2 IN. � I <br />COPPER �- GALV. •• STEEL <br />PIPE <br />CORPORATION <br />CUR6 COCK OT <br />SERVIGE BOX PLASTIC -- C 1 <br />METER VALVE __,�_. <br />METER No��'�� /�. `�C��'fYPE <br />METER BOX CUiVCRETE � <br />� <br />1 � SS <br />LARGE <br />� ON <br />DATE INSTALLF_D: �7�/ % �� � OFF <br />1 <br />CODE ( L�BOR ANO EOUIPMENTRENTAL <br />I — �n <br />I � �i' � <br />L I <br />REMARI(5: <br />I <br />— _ __"—_ <br />.y_ _�'_.-- _ ' _ —_ " <br />SERVICE N� � O 11 �! <br />ORDER <br />� ,,/ ,'c/� <br />DATE.. tti �—��-�-r�-- <br />w. o. <br />PRICH � AMOUNT <br />SUB TOTAL 96 <br />HOl1R5 NATE <br />i � `,� � � j <br />� �� j <br />-�_ -�II �_ <br />!I I <br />l ;.. ,I �:� I <br />� TOTAL ��� <br />� <br />