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^P'�"'�+OT1 �"' CITY OF EVERETT <br />No. �y <br />APPLICATION FOR 1NATER SERVICE <br />� FIXED � <br />� <br />� DEPO3IT s_,3.�� // �7 <br />SERVICE (BY ADDREe�) �3 a r � ��� �'rll�.-r:// BLIK��O <br />� <br />OWNE ✓ V �'�— ���'�'� CONTRACTOR_ <br />�_,. �„T--_-1;�--� ---- -- <br />INSTAL METEREO SERVICE�.–_- .— _ ---- � � <br />I HEREBY APPLY FOP THE USE OF WATEH IN ACCOROANCE WITH THE �C J' <br />OPDINANCES AND POLICIES OP THE WATER DFPARTMENT NOW E%ISTING ei�rveo: X �-- <br />OR AS SAME MAY BE HERE�FTEN CHANGE�. <br />M�TERIALS �i IN. �� 2 IN �. <br />PIPE ___ `COPPER GALV. •• STEEL _ _ �' � <br />CORPORA710N � I �� I_ <br />CURB COCK OT I � <br />SERVICE BOX PLASTIC -- C I I <br />METER VALVE _ _..- — I — <br />MEZER No. �Q 9 G_ ,� -- –TYPE:��D_ ��7 . I_ `�. � <br />� I . _ —_' _ <br />�ETER BOX CONCRET �.� fT� SMAL LARGE _ <br />_ �,�" _i.7-ME�c���--- - - — � f—i—j—� <br />-- -- — - --� <br />p� ON <br />DATF. INSTALLED: �i� /Q � �� I � OFF <br />COOE �� IABOR AND EOUIPMENfRENTAL <br />I__ _ .--._ ___. _-_ — <br />—_II' � � ���� <br />— <br />� -- - - - - -- -- <br />_��s G,�'-_ <br />REMARKS: __ _ __.__ _ __ __ . . .'�_ _ ._. <br />seavice � <br />ORDER NO./ '�-� -j <br />DAT6"'_�cf�i/ j()_19� <br />NnO _ <br />PRICE II �MOI'NT <br />� <br />SUB TOTAL <br />MOUR9 ' PATE <br />