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� <br />APPL. SERVICE � � .�� ' � ' <br />No. ���a� y CITY OF EVERETT O�DER N0. �'J ,J I <br />A?PLICATION �Or� WHTER SERVICE <br />� /FI%ED � <br />L�AiE �,��' 79� <br />�DEPOSIT / W� �• <br />S CL7O No._--_--_—_— <br />SERVICE (ev nooRees)�Lf1 Z=(J1�2 � r BLK._ LOT �� nDD. �Z�L✓� <br />OWNER �\'"'�'J"" C�% � �P`f COrlTRAC70R � ���� - — <br />�,J� / LAT <br />1NSTALL�— RED SERVICE—_-__ -- <br />I HFREBY APPLY FOR THE USE OF WATER IN ACCOROANCE WITH THE //�/ <br />ORDINANCES 6ND POiIC1E5 OF THE WATER DEPARTMENT NOW E%ISTING C����.7,,,, ��� ,,('�') <br />OR AS SAME MAY BE HEREAF7ER CHANGED. sicNe�: X._ ��ULF� 'tj- <br />MATERIALS _ $� Irv. 1 IN. j 2 IN. i I I PRICE �OU� <br />J�� <br />PIPE COPPER -- GALV. -� STEEL <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER �ALVE <br />METEH No. <br />METER BOX <br />OT <br />PLASTIC •• C I <br />CONCRETE <br />❑ATE INSTALLED: <br />CODE I <br />TYPE. � iL <br />SMALL LARGE <br />ON <br />OFF <br />ANDEOUIPMENfRENTAL <br />0 <br />SU6 TOl'i-�L <br />HOIlpS � RATE <br />TOTAL <br />REMARKS: <br />