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APrL. _� � a j9 . .�' CITY OP EVERETT <br />NO. �� <br />APPLICAT!ON FOR WATER SERVICE <br />� FIXED <br />�I'Y DEPOSIT � <br />rr:'f" <br />SERVICE Ur wooRn�,_ J � I O� — St� / Y' S J� S✓V BL\._. <br />OWNE � � ��I� GONTRACTOR_ <br />k FLAT <br />IN3TAL � ' RED SERVi.^.F <br />�� <br />1 HEREBY APPLY FOR THE USE OF WATER IN �CCORDANCE WITH THE <br />ORDINANCES AND PQLICIE.� OF THE WATER UEPARTMENT NOW EXISTING <br />OR AS SANE MAY BE HEREAFTER CHANGED. e�GNeo: X� <br />MATERIAlB �' IN. 1 IN. � 2 IN. <br />PIPE .(I-� �/. S7'� r COPPER -- GALV. •- STEEL . �L I <br />C; <br />CURB COCK OT <br />r <br />8ERVICE BOX� LASTIC - C' <br />METER VALVE ' <br />METER No. 7YPE: <br />METEF BOX CONCRE"fE SMALL LA <br />��% 5� '< w. 4 G.._�� r a <br />'� � �j�� —. � � <br />DATEIK57ALLED: <br />COO[ � <br />REMARKS: <br />f5 <br />'Z // �� I � OFF <br />'_11 ' <br />% LABOR AND EQUIPMCNT RENTAL <br />//3 <br />J �o <br />ORDER E n,o. 4 9 S 1 <br />DATE / �-1 W-g.- <br />W. O. <br />1 g l�x.cP.� l;� <br />SUB TOTAL <br />HOlIR4 � RATE <br />TOTAL <br />