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� <br />APPL_. ,/ 9� Z� �� � APPLICATION FOR SERVICE SERVICE f�j° � O% <br />rlo. r OR Eg,�� <br />��-� �9 �7 CITY OF EVERETT WE�T. ER DEPT. �//�)(� �� �/j <br />FiXED � DATF1.��.__13� <br />� DEPOSIT S /�_._ Non' <br />=-f <br />!//�(/,9 / k <br />SERVICE (eY/��/J5} o�a�ese> ��� ���� /l�J .��.�_.✓ N `�6LK. LOT ADD. � _ <br />OWNER—�/t-�//�L vu-C,l.-�_C-C�� CONTRACTOR��"�-� [.� � 1�.�_ <br />�� FLAT <br />INSTAL �� �i=e•SERVICF' <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITN THE <br />ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. s�cNeo:X_ _=�'�"�—_D _. <br />MATEfi�ALS �GIN.� I IN.I21N. � I PRICE hMOUNT <br />PIPE COPPER�• GALV. -- STEEL L/ ��I �I I^—I .�/ II i4 1/� X <br />GORPORATION <br />,�CURB COCK'""{O�T <br />SERVICE BOX LA'. <br />METER VPL�E <br />METER No. <br />METER BOX CONCRETE <br />DATE If�STALLED: h <br />CODE I <br />RE��7ARK5: <br />TYPE: � 'e <br />SMALL LARGE <br />I � ON <br />�� -7 �GOFF <br />LRBOR AND EOUIFMEN; RENTAL <br />SUB TOTAL <br />HOURS I RATE <br />� <br />