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naP�� O �� / <br />T70. _ <br />. �!:%, x� <br />� FIXED <br />� DEPOSIT g �-�' ,� r�' <br />i <br />SERVICE ( Y �DO E68) �5 � � <br />APPLICATION FOR SERVICE <br />CITY OF� EVERETT WATER DEPT <br />� „ <br />/j1 . <br />OWNER��Z /t- �i � . .�Lt�, .,•/ � <br />( .r <br />CONTRACTOR� <br />INST�L -'/T.L,' /y FLA�T a SERVICEI <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POUCIES OF THE WATE2 DEPAflTMENi NOW E%ISTING Q� <br />OR AS SAME MAY BE HEFEAFTEF CHANGEU. et�Hco:x J-' +< <br />MATERI•\L6 °A IN. I IN. � 2 IN. i <br />P��'E �COPPER •- GALV. •- STEGL �� <br />CORPORATION I � <br />CURB COCK �7�. � � <br />SERVICE BOX LASTIG-- C I I <br />METER VALVL' <br />METER No. _ __ TYPE: I eg -- —� <br />METER BO% CONCRETE SMALL LAF2GE <br />�.l (� __ _ _ <br />� � � � <br />I � ON <br />DATE INSTALLED:� � _ - OFF � <br />l i i , ❑ j )�� .�. <br />CODE I L�DOR AHD EQUIPM[NT RENTAL <br />REMARKS: <br />.-_..-____..__'-__"-__ -- . _-__ __ -_ -_. __.__ <br />L_%C�--- - -- _ _ <br />SERVICE N� � Z � S <br />ORDE <br />��' <br />onre_-�1•i`�- /•J—is/t. <br />t/ <br />W. O. <br />No. <br />7—�— . j <br />���`�-� t cG� / <br />�oo.�.,��.J _ <br />PRICE <br />SUB TOTAL //li�:'� <br />- _ 7"/ __ <br />I NOliRS 1iATE <br />� _1 <br />—I_ �� I <br />�_J ��i �/� I� '� <br />— � � I .. . <br />I n I <br />I -- �� ; <br />i -�„ -i � <br />_�,- =�. � ,��_��_,� - <br />TOTAL �OiS�S.l <br />— � - <br />