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APPL. �'L �� '' � APPLICATION FOR SERVICE <br />Na. �� - <br />,��,1��� CITY OF EVERET7' WATER DEPT, <br />� FIXED <br />� DEPOSIT S �. j G' ��� <br />SERVICE (nr/qooness>—L �(% -�T� �O � <br />��y // <br />OWNER_L2� `�. ' �� ',C : "� <br />.�C, P -� t"1['�.�,: <br />INSTAU METERED SERVICE,� -- <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCOR�ANCE V. <br />ORDINANCES AND POLICIES UF THE WATER DEPARTMENi NOW <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />PIPE COPPEH -�,ALV. 1 STEEL <br />CORPORATION c <br />CURB GOCK OT <br />SERVICE BOX PLASTIG -- C I <br />METER VALVE <br />METER No.S�3CC - � �l�yYp�Rs�. <br />OX GONCRETE SMALL lLA <br />sq <br />9D ° 6LL <br />— , � <br />�,� ��s/1x G_ <br />.� v/--��I7`� <br />. .2�X 3�" ,� <br />I � CN <br />DATEINSTALLED: % _ u _ �� � OFF <br />/ <br />COOE I LqBOR AND EQUIPtAENT RENTAL <br />_. _ . <br />� .d - �a �_ <br />�' <br />REh1ARK5: <br />I cJ_T1 __ — _ <br />. �', <br />SIGNED: X_ <br />°I IN. 1 IN. � 2 INI <br />�� 3.3 <br />■ <br />� <br />e <br />SERVIGE �� 1 3 7 �� <br />ORDER �% <br />DA�/(�,GL._%. � % <br />�, <br />—19' �> <br />W. O. <br />No. <br />" ADD. <br />�t� <br />H, �, <br />/. <br />SU6 TOTAL <br />HOURS RA�E <br />�� �„• / <br />i� <br />_ _�1 <br />� � J,i � <br />�=-� <br />TOTAL <br />AMUUNT <br />yil7� <br />