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NoPL '���o✓ APPLICATION FOR SERVICF sekvict V° H($ <br />-- �'`' � CITY OF EVERETT iNATER DEPT. oROEa <br />� FIXED �� % �' I ' ' <br />DATE ��i ��g`_ <br />� DEPOSIT S /r_ti _ � �N. O. <br />No.____ <br />SERVICL- (OY ADORE85)_" ' �. � � � �i" - __eLK.�'_LOT—I, ADD._ '' U�%F <br />�, �/ , <br />OWNER � <br />� '-� �� CONTRACTOR <br />% �� FLAT — <br />INSTALL =��M6TGAGD SERVICF' _ __ <br />I HEREBY APPL:' FOR T4E USE OF WATER IN ACGORDANCE WITH TI1E <br />OqDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING / ��� % ) <br />OR AS SAME MAY BE HEIiEAFTER CHANGED. CJ � �_�.�...' � <br />i <br />SIGIiED: X_ ( " 1 __ ���_ � <br />MATEqIALu ?i IN. t IN.' 2 IN. PRICE AIAOUINT <br />PIPE __ �OPPEP,-- GALV. -- STEEL . , i J I�I�I— I�—.I �J �`� �� <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />hiETER VALVE <br />METER No. <br />N.ETER BOX <br />PLASTIC�,•• CI <br />TYPE: � �' <br />CONCREiE SMALL LARGE <br />DATE INSTALLEO: <br />cooc i <br />R � . <br />—� �� ' �� �% � ❑ �F^ <br />LABOqANDE0UIPMENTFENTAL <br />„� ; � ., <br />RcAtARKS: <br />-' � � <br />�� <br />/ ; <br />SUB�I /t� /� <br />HOURS qATE <br />- (`__ �'= <br />� II� <br />` �I� <br />-> <br />- - �, -_- <br />_ _L-- �-_� <br />T_—.._—__. <br />