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,.� <br />r APPL. //3L�8'! <br />Na. c•c <br />� FIXED <br />O� <br />n DEPOSIT �Q � <br />SERVICE �8Y AOUAE9E) <br />O\YN <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICF <br />ii r-�,�T�—�— <br />INS'I'ALL��--`E7ERED :iE IC -.___.__ ___— <br />I HEREBY APPLY FOR THE USE OF WA7ER IN '�CUPDANCE WITH THE <br />ORDIiiANCES AND POLICIES OF THC WAi�n O[PARTi/EN7 NOW E%ISTING <br />OR AS SAME MAY BE HEkEAFTER CHANGED. <br />M/�TENIALS � � <br />p�pE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />ME7ER No. �` <br />M^cTEP. BOX�RETE <br />_�� �_��---�1� <br />DA7EINSTALLED: <br />COOE <br />RL'MARKS: <br />� �jl'YPE:l��/�'{'/ .I_ `.S <br />SMALL LARGE <br />� <br />1 I N <br />�_. <br />� OFF <br />R AND ECUIPMENf PENTAL <br />� <br />91GNED: X.— <br />IN.I 1 IN. i, 2 IN. <br />SERVICE ": <br />ORDER NO. !� !�- �-� � <br />DATE��d —1� <br />W. O. � <br />"�.- �Tl- <br />5��8 i�37 � <br />�--,� o o.— <br />(/ %Z�_ ___._.__. <br />� PPICE �� AMOUNT <br />SUB TOTAL <br />MOUPS I RAT[ <br />TOTAL <br />