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� : r <br />APPL. ? �'�T • <br />No. �jC3_ 7 <br />2 � ��� <br />� FIXED �, <br />� DEP031T s �OO �'l <br />SERVICE tBY �4�REIi�L� <br />/// <br />INSTALL_._1— <br />I HEREBY APPLY Fi <br />OROIN�NCES AND P <br />OR AS SAME MI1Y I <br />$r,�i ic CNRiLi,yG' /1 • 2�-o'i <br />CITY OF EVERETT <br />APPLICA710N FOR WATER S�RVtCE <br />IN ACCORDANCE WITH TNE <br />DEPAHTMENT NOW E7(ISTING <br />eIGNED: _ <br />MATERIALS I��N. I � �N. � 2 IN <br />PIPE �jCAS%�� � _ <br />CORPORATION _ <br />GURB COCK OT <br />SERVICE BOX PLASTIC -- G I <br />Mc�ER VALVE <br />METER No. ��� TYPE:�� <br />METER BOX C NCRETE � SMALL LAR <br />��/ <br />GATEINS7ALLED: <br />COOE I <br />?5 <br />- - ' `/ I � oN <br />� � -�L�� OFF <br />LAPOp ANDEOUIPMEN�lRENTAL <br />___C_- <br />_ _I "_ _ -- <br />REMARKS: <br />SERVICE P ;j �i � <br />ORDER NO. � � • — <br />DAT � —�9� <br />W.o�� <br />ppiCE <br />SUB TOTAL <br />HOUNS � RATE <br />TOTAL <br />AMOUNT <br />