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��aF�..���6 � <br />� FIXED <br />� �EPOSIT s /��n �'� <br />--� �L-- <br />SERVIGE fer <br />�ITY pF EVERETT <br />APPLICATI(�N FOR N�ATER SEP\'iCE <br />SERVICE <br />OR�ER NQ . ,.. <br />DATE_jryr..tr =� _19-�._J" <br />/ <br />W. (�. <br />NO._. <br />•---_LOT_,� _AD���_/'�ce'cf/ � – <br />�S� ,–�'–"� CONTRAC70R –� <br />INSTAL � �r1E�ED SERVICE__ __ <br />I IiEREeY ppp� FOR THE USE OF WATER II: qCCORDANCE WITH THE -�-ry--� <br />ORDINANCES AND POLICIES OF iHE WATER DEPARTMENT NOfJ EXIS7ING r/ _ <br />�R AS SAME MAY BE HEREAFTER CHANGFJ <br />BIGNEO: X � <br />MATERIALS <br />I 9i IN. 1'N. � 2 IN. <br />PIPE COHPER •' r <br />_.______ GALV. -- STEEL ! —�I <br />CORpORATION --- <br />CURB_ �-�CK ___OT <br />SERVICE BOX PLASTIC <br />•- C 1 <br />METER VALVE <br />M ETER No. —___ — --_ _—__ __ ___. _ _ ____. I <br />--.—___ TYPE: S5 <br />MErcR BO:( CONi,RETE � <br />---- _____ SMALL LARGE <br />DATE IN:iTALLED: <br />COpE <br />I <br />—_I <br />� <br />REMARKS: <br />�' ON <br />��/– 7J� J OFF <br />� LAFOq qND EqUIPMib' f qENI AI, <br />— _' __--_'_ � _ti� <br />N <br />SUB TO'fAL <br />����� <br />� HCUqS qq1E <br />I � <br />__'—i _"�_� '�_ <br />�i / —� <br />TOTAL. <br />���� <br />E II AMOLINT <br />