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AMAL. �� I� � I� APPLICATION FOR SERVICE SERVICE V° 'I O% a <br />No, <br />CITY OF� EVERETT WATER QEPT. oRoe� <br />/,;<=' i ' � � . <br />� �'IxED �.. � DATE_<�- ��� iB� <br />� DEPOSIT s l�. � ��'. _ �'- � , ..�-c . ^ - . __- �. <br />--- -- w. o. <br />j � � No._ <br />SERVICE (BY AOOqE88)_� � �� �� �� ��� � <br />— C9LK.__._ _LOT .ADD. <br />6WNER __ ___CONTRACTOR <br />r �—___ <br />/1dSTALL .�� Yi FLAT � � ,�7 . � � ��'-i i i � . .- ' � - — <br />FfFfiLr{�b SERVICE_�/,i-=�=___. <br />1 HEREBY APP�Y FOR THE USE OF WqTER IN ACCOPDq}iCE WITH TNE • J i � <br />ORDINANCCS AND POLIQES OF THE WA1'ER DEPARTMENY �OW EXISTING r "' •.i . �.�.� % <br />OR AS SAME MAY BE HEREAFTEF CHANGED. sicrv[n: X_"'�`' `�''�'�' � �-�" <br />r--___—�- _— <br />MATCRINLS �' IN 1 IN. I 2 IN. <br />/ � �_ �I � —�PFICE--� AMOUNT <br />PIPE COPPER -- GALV. •- S'lEEL I/`) � I I I I I I !�Q I� <br />CORPORATION <br />CURB COCK _� OT <br />SERVICE BOX \ � PLA <br />—� <br />METER VALVE <br />METER NO. <br />METER BOX CONCHETE <br />�ATE INSTALLED: <br />CODE I <br />--� `�?-�_ <br />-�-� �=- -- <br />-� C 1 <br />TYPE: _ I ;{� <br />SMAI_L LARGE <br />�� <br />I � VN <br />� ; � � � oFF �. �: <br />LA90fl /.I:D C )UIFNEN'i RENTAL � <br />1 <br />SUB TOTAL '7n ") <br />/1( � /1 <br />Houns ftATE � <br />y � ,. �, <br />�_ -�'� ' i i <br />0 <br />- TOTAL1 <br />REPIARKS: ' ' <br />-�i.._!..____'_ "'__.'_`_�.-_'______'--_ <br />. <br />_ _. _ .-.__-- ___- <br />__--I_'�.i, - �' �.. �. , .,. ___"-_____. <br />; . ., <br />' / <br />__Z__' <br />