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A�(ti2l=""'����� ✓ <br />' No. <br />r� FIXED <br />n�� <br />� DEPOSIT �_��I_ __ <br />) ��' l/�� <br />SERVICE cer�9Rf-�6>�J`� � <br />pPPLICATION FOR SERYiCE <br />CITY OF EVERETT WATER DEPT <br />�/'���� <br />C�/<�-G� .._HLK._ LOT <br />INSTAL���/�—METERED SERVICE.----��----� n <br />I HEREBY APP4Y FOR THE USE OF WA7ER IN ACC^ROANLE W�TH THE 81G1Eo:X�-- <br />1 :i.0.� <br />OFO'NANCES AND POI.ICIES OF THE WATER DEPARTMENT NOW EXISTING —_— <br />OR AS SAME MAY BE HEREAF7ER CHANGED�—__—�'N IZiN <br />MATERIPLS ���_—I <br />PIPE ____,_ COPPERJ. GALN. -. STHEL � --�— <br />CORPOP.ATION __�_— <br />CURB COCK aT <br />PLAST�C -- C � <br />SERVICE BO�__ <br />METER vpLVE _ _____-- <br />ME?�R No��]/. �- 7'f `//_�._j� r <br />� TVPE <br />ME,TER B��X CONCR�7'E _y <br />.<., _7y� <br />DATF=�NSTALLED: <br />—���� <br />�ooE i — <br />LA.:GE <br />I � V I'� <br />� � O—FF <br />—��'— <br />LABaR FNO EQUIPMEN� nENTAL <br />�� <br />�=_- r-- <br />REMARKS: �--- -- <br />�� �_ <br />—;-, �rL� --- <br />SERVICE �� 9 O I <br />ORDEF(J,� %� <br />DAT�� � � T �� 19�' <br />W. O. <br />N o.— — <br />i <br />PNIGE jl tiMOUNT <br />3 <br />���dz <br />SUB TOTAL ,�j� �Q <br />IIOURS RATE _ <br />� ��1�-l'��J�_ �l,_ <br />� I-- <br />__ ��, . I /� <br />�— '— .'�''-- <br />— I <br />�' - <br />_ __Ji ' <br />�— --''-�� —� <br />TOTA� �/ � �� <br />—'__— S <br />0 <br />� <br />