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�PP�� J7�i�l,Q CITY OF EVERETT SERVICE <br />No. ORPER 'I <br />APPLICATION FOR WATEP SERVIC[ �y� 586�p <br />.� FIXED ��y � DATE___�=_� IB LL <br />� DEPOSI7 � //i! / yy � <br />—W'i No.—_ __ <br />SERVICE cerwooNEec1—__—I{/_.�J� ��f�_[�._S� —BLK____LOT__�� ADD.���j7CCl6�M1�2._ <br />OWNER r PnQ�['�_._�(� _ _CONTRAC70R 1 <br />�j FLA /+��� �] "—_____ _ <br />INSTALI�.�F( RED SERVICE__S_(JRJ T� ._ _ _ <br />t HEREBY APPLY FOR THE 115E OF WATER IN ACCORDANCE WITH THE \� <br />ORDINANCES AND POLICIES OF THE WATER DEP�RTMENT NOW EXISTING J ll1 <br />OR AS SAME MAY BE MEREAF7ER CNANGED. eicHeo:X ._ ________K �____ �__ _ <br />MATENIALS S� IN. 1 IN. i 2 IN• PqICE AMOUNT <br />P�PE COPPER-�GAW.—STEEL �I�I—J—I�� <br />CORPpRAT10N <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />ME7ER No. <br />ME7ER BOX <br />OT <br />PLASTIC •• C I <br />__ . _ ___ .— ._— <br />_— . __ _ <br />TVPE: � .p <br />GONCRETE SMALL LARGE <br />DATE INSTALLED: <br />CODE I <br />REMARKS: <br />� ON <br />/ � �� OFF <br />l _ <br />O <br />LM�ORANDEOUIPMENfi�[NT�L <br />_ ____ _ � i%'r��1� �7�hJ ___ i <br />.. /.� . <br />SUB TOTAL <br />HOl1R5 peT[ <br />�I� <br />