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NoPL ��pl �� CITY OF EVERETT ORDERE IVO. '1 �1 �r � <br />• � � APPLICATION FOF WATER SERVICE ^� <br />� FIXED DATE_ J �-19� <br />�y DEPOSIT S (p U�� W. O. _ <br />ya, No.__— ' <br />SERVICE (sV wDnRuq���� � � ��v `^� BLK._ LOT �v ADD �'""�"`�" ! � <br />��� �. � v <br />OWNE `c�--' CONTRACTOR -- <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />OFDINANCES ANU POLICIES OF THE WA?ER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED, elcweo:X•G <br />MATEHIALS �'i IN. I�N. � 2 IN. <br />PIPE COPPEP. -� ��ALV. •- S7EEL �I <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -- C I <br />CONCRETE <br />DATEINSTALLED: <br />COOE � <br />TYPE: � '6 <br />SMALL LARGE <br />ON <br />L�BOpANO EQUIPMENfRENTAL <br />PP.ICE (I AMOUNT <br />SUB TOTAL <br />NOURS I RATE <br />TOTAL <br />REMARKS: <br />