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NOPL � O� �� APPLICATION FOR SERVICE <br />_ ,�-O(c /Q <br />�IXED CItY OF EVERETT WATER D�PT. <br />� DEPOSIT $ � n U �'} <br />r v <br />SERVIGE(BYADDRE88)_`�JD � ��/U��D��- <br />r� — �I_K. LOT <br />OWNER—/f S �% /,GA ( i/�l <br />'� � // FLAT '� —CONTRACTOR .5�5 / <br />INSTAL METERED SERVIr�____ %��� � <br />I HEREBY pppLY FOR THE ll5E OF WATER IN ACCOROANCE WIiH THE <br />ORDINANCES ANO POLICIES OF THE WATER DEPARTMENT NOIY E%ISTING /J <br />OR AS SAME MAY BE HEREAFTER CHANGED. /f c 'j <br />61GNEO: x___f 7 �.,.L,__. <br />MATERIALS <br />PIPE �'�' IN. I IN. � 2 IN. I <br />COPpER •- GALV. -- STEEL �I I�I <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />ME7ER No. <br />METER BOX <br />DATE INSTALLED: <br />CoOE � <br />OT <br />PLASTIC -- C I <br />CONCRETE <br />TYPE: — I 'fi <br />SAIALL LARGE <br />I � ON <br />� OFF <br />LA60R ANO EqU1PMENTRENTAL <br />a <br />REMARKS: � � ' � ..._ -- . <br />r� <br />� �. �---�- � - ' —____ . _—__ ` --,� .. <br />---- �� V � . . _'-- • . _ : <br />—____ �-CS._[ �{I( �y'q` ;i.`-F.'. ___� _—. —.-. �__.. <br />SERVICE �� 14 2 4 <br />ORDER <br />DATE__�2- � � ,_18� <br />W. O. <br />Y: <br />PRICE <br />SUB TOTAL <br />HOURS' RATG <br />AMOUNT <br />".'_ _._'_. _�s"__ <br />