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APPL. zS ' <br />�No. <br />� <br />� FIXED o <br />O� <br />� DEP091T s SQQ <br />9ERVICE (sV AODRuO <br />OWNEF=a!�eG� <br />�� F <br />INSTALL� G`IO <br />I HEREBY APPLY FOR T <br />ORDINANCES AND POLIC <br />OR AS SAME MAY BE H <br />PIPE r�,rr: <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER YALVE <br />METER No. <br />METER BOX <br />� / �� <br />L-- �1;;� <br />OT <br />CITY OF EVERETT <br />A°PLICATION FOR WATER SERVICE <br />ORDE.t E NO. L� `� �r � <br />DATE�---� � <br />W. O. <br />BL��LQY�ADD� <br />USE 0 WATER IN ACCORDANCE WITH THE <br />OF THE WATE7 DEPARTMENT NOW EXISTING <br />AFTER CHANGEL. slcr+er.� <br />MATEPIAL6 ii IN. f IN. � 2 <br />y <br />_ � <br />I <br />PLASTIC -- C I I_ <br />7�� TYPE��__�� � M <br />CUNCRETE SMALL LARGE <br />4 oN <br />DATE INSTALLED: . �- � I OFF <br />r � " �' " �� � <br />COOE � L�HOp AND EO���PMEN'f RENTAL <br />I /' <br />I __ �-• <br />I <br />I <br />I —. <br />REMARKS: <br />n:uaa <br />SUB TOTAL <br />HOURS � N�TE <br />AMOUNT <br />