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� <br />APFL�D • �(/ <br />�{vo. " APSLICtiTION FOR SERVICE <br />�,,J���.S'� CITY OF EVERETT WATER DEPT. <br />�FIXED <br />L� DEPOSIT S J /� GO <br />F�..,..G 1_ <br />SERV�CE (BY qODRE88)� `�) / ��� <br />OW�JC•�r��r� <br />INSTAU •�y4'' FLA— :� �/ <br />- � SERVICF <br />�L� 2LiC. LOT. <br />I HEREBY APPLY FOR THE USE GF WATEF IN ACCORDANCE WIiH THE /� ' <br />ORDINAVCES AND POLICIES OF THE WATER DEPAR'fMENT NOW EXISTING /7 <br />OR AS ,;pME MAY BE HEREAFTER CHANGED. / / <br />SIGNEU: X_' ' � <br />MATERIqL9 <br />' °,i IN. 1 IN. � 2 IN. I I <br />P�PE COPpER -- GALV. •- STEEL G/ I I 1 <br />CORPORATION <br />CURB COCK OT <br />SERVICE 90X � <br />METER VALVE � <br />METEK No. <br />METER BC�X CONCRETE <br />-- C I <br />TYPE__ I .g <br />SM,+LL LARGE <br />DA7E INSTALLED: �� �j [] ON <br />�����/ �OFF <br />CO=p � LABJR AND EQUIPMENT RENTqL <br />� <br />SERVICE y° 1 1 5 6 <br />ORDER <br />DATrct=_..v/ hlf__19�Y <br />W, O. <br />AMOUNT <br />SUB TO7'AL I /? F <br />HOURS I RATE <br />�i /I ��� <br />✓ <br />REMARKS �� ""�`� '�I" J�i/�/ <br />_. — <br />�p�,� ---__— -- <br />