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HoP�'��'��� CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />� FIXED � <br />� DEPOSIT s �� <br />� SERVICE �ev �oon[u� `L ��J_�...L1y.J.�l�l�V �.1—BLK... <br />OWNER_(I-jl`�JS.1L1�j�K,� % CONTRACTOR_ <br />-y LA <br />INSTAL N _M TERE� SERVICE_.—_ <br />I HEREBY AP��LY FOR THE USE OF WATER IN ACCORUANCE WITH THE <br />ORDIN�NCE: /.ND POLICIES OF THE WA1ER DEPANLMENT NOW E%ISTING <br />OR AS SA'AE MAY BE NENEAF7ER CHANGEO. eicneo:X . <br />MATERI�L6 1G IN. 1 IN. � 2 IN. <br />PIPk'. PLA�1%�i rn ��t� SS I <br />' — � I <br />CORPORATION <br />CURB COCK OT J I <br />SERVICE BOX LASTIG C I I <br />METER VRLVE __ _ _ _ _ �_ <br />METER No. TYPE: I �G <br />METER BOX CONCRETE SMALL LARGE � <br />Qn,i.�an �JO , cAAlli c�•E.i -�_.1- Y//,3�"�jr`� I <br />� <br />'_ S�.S � <br />KPr — d <br />/� rJ{ ON <br />DAT:9INSTALLED: -Q(J-� �� oFF Q� <br />/ <br />COOE I LABOq AND E041PMENf!1ENTAL <br />REMARKS: <br />SERVICE <br />ORDER nlo 5 3 2 2 <br />I` <br />DATE_ _19_ <br />W. O. <br />No.— <br />_� II �MOUNT ' <br />SUB TOTAL <br />H011pS I P�TE <br />iG�_�O 1 _ _--3�a� - �-�— <br />_6S_os J- _ <br />- : _ _ -- �-- -a�39 _ � �- <br />