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N,P,P���cT� � CITY OF EVERETT RDER F NO. r;' 'c; �7 <br />APPLICATION FOR WATER SEriVICE �7�� <br />� FIXED �A �-19" " <br />�� DLPOSIT � �� C� N� ___ <br />SERVICEcerwooneest O� �i" � �BLK.1�s�.LOT_,L_�ADD/�.��F{� <br />/ <br />OWNER�jLaG, �' —.,���"Q�� CONTRACTOR_ _ .-- --_. <br />INSTAL�� /� METERED SERVICE--_---- /J //J� <br />I HEREBY APPLY FOR THE ❑SE OF WATER IN ACCOFDANCE WITH THF. �-J��,—lL-���` f� �������___. <br />OFDINANCES A�1D POLICIES OF THE WA'(ER DEPARTMENT NOW EXISTING <br />OF AS SAME MAY 9E HEREAFTER CHANGED. eiar+eo: X. <br />M/�TERIALS 3i IN.' 1 �N. I 2 IN. I , I PRICE Ij �AMOUNT — <br />F'IPE COPPER -- GALV. •- STEEL , � I �I I II I <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />fHETER BOX <br />OT <br />PLASTIC •- C I <br />—'_— _ —TYPE: _"_'___I �� <br />CONCRETE � SMALL LARGE <br />e ���—�^__' i <br />DATE INSTALLED: <br />COOE 'i <br />—i <br />I � ON <br />� OFF <br />LA80P ANU EOUIPIdEN�f RENTAL <br />_. . . , �. �i � / <br />REMARKS. 1; �_i t T, -���'Y yf�.� - ' ' <br />_. J ��.�—�,5:.—�' S. _—__ "_ _Y__._I'• �_-'" <br />t /-�"_ <br />SUB TOTAL <br />H7UR5 I RATH <br />T�7TAL <br />