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AM�I� /Q t/7 I I <br />No. �� <br />� rIxED �fi' <br />� DEPOSIT s � O G <br />SERVICE (�r <br />CITY O� EVERETT <br />APPLICATION FOR WATER SERVICE <br />ORDERE NO. ��� <br />� � �7 <br />DATE_�-� --/ —�g� <br />W. O. <br />BLK._� LOT� <br />ADD._c;�� �"� ` <br />L <br />INSTAL�.�-- TERED SERVICE--- -- --- <br />I HEREBY APPLY FOR iME USE OF WATER IN ACCORDANCE W17H THE <br />ORDINANCES AND POLICIES OF THE WATER DEPAPTMENT NJW EXISTING BIGNED:X - <br />OR AS SAME M/1Y BE HEREAFTER CHANGEO. <br />14 IN. 1 IN. I 2 IN. <br />MATEPUL6 —_� <br />P�PE COPPER -- GALV. -- STEEL <br />CORPORATIO� __ — <br />� <br />CURB COCK �T __ � —� <br />SERVICE BO% PLASTIC •- � � --- <br />METER VALVE _ _.______ ____ ---i —' <br />TYPE: �� — <br />METER No. _. -_ '-. ._ _ __-_ _ . _._ _ _ <br />__ SMALL LARGE __ <br />METER BOX CONGRrTE _ _ -- <br />I ��ON <br />OATE INSTALLED: /a�� ��-- <br />y.� � OFF <br />LABOR AND EOUIPMEN�fRENTAL <br />CObE � <br />���I _ __ .—. _'_ <br />_ _ ._ __ _—_"_" <br />-I ,� . � � <br />- - _ _�� t�" _ �t i // <br />-' _ <br />-i - _-- --- . <br />PRICE �I AMOUNT <br />SUB TOTAI <br />NOUPS I RATE <br />2- <br />•OTAL <br />Q <br />� <br />REMARKS: ; �� 'i—_� �_Lii1-�(' -�- i- __--.-_—�_ --,._ _- _ _- _.___ __-_._ <br />- — -��.�-- �_,___--�- <br />