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APPL /7��Jn�/jl <br />No. ,j l( ly �� <br />� FIXED � <br />� DEPOSI7 s �1 <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDF.R , t � A �C <br />1y v � <br />D:.TE_ 1 � <br />W. O. <br />SERVICE (SV AOD11E��� "��� � l 1i n�in lr A ��__BLK_—r�L07�1�`c'AD�.l�,�CJit1 c�• � <br />OWNER_J1�LRSJl� � ` CONTRACTOR—.�ZJ�]JiZ-�nu���(.,,�� <br />j I � �LAT <br />INSTAL ���E RED SERVICE_— _-- <br />I NEREBY APPLY fOR THE USE OF WATER IN ACCORCANCE WITH fHE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTER CIIANGED. <br />MAIERIALS i5 <br />PIPE �LN. )/ I � COP GALW�STSEL _ <br />CORPORATION � <br />GURB COCK ^9�— � <br />SERVICE BOX PLASTIC�-• C I_ �_ <br />METER VALVE <br />METER No. TYPE: I �: <br />METER BO% GONCRETE SMALL L4RGE <br />filSU%� __ �= <br />„.� . �_,.,. .,. .., �_ _ ,—�/ — <br />DATE INSTALLED: Df.�— % R—� �� I �� OFF <br />�J (J <br />CODE I �ABOp ANO EQU�PMENf HENTAL <br />81GNED: X -_ <br />IN.I 1 IN. , 2 IH. <br />/if1 L C_ <br />PRICE II ��MOUNT <br />SUB TOTAL <br />NOUHS I RATE <br />TOTAL <br />REMARKS: <br />