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APPL. / 99� a APPLICATION FOR SERVICE <br />!99D� CITY OF EVERETT WATER DEPT <br />FIXED <br />DEPOSIT S /7 f�. eLf <br />SERVICE (a ADDRE[t)��C�-�3�� _ ✓� !^' <br />BLK._ <br />OWNER /11 '4 CONTRACTOR <br />INSTALL / METERED SERVICE. 1 <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />SIGNED! <br />M ATERIALO ii IN. I IN. E IN. <br />PIPE COPPE •• GALV. - STEEL ti <br />CORPORATION -- <br />CURB COCK OT <br />SERVICE BOX PLASTIC - C 1 <br />METER VALVE <br />METER ND./JIJl �% a' TYPE• <br />METER BOX CONCRETE SMALL' LARGE <br />DATE INSTALLED: <br />SERVICE ND 687 <br />ORDE <br />DAT_ 101149 <br />N W. <br />Off�. <br />ADD <br />G£ I [J-QFF 8U0 TOTAL <br />LAOOR AND EQUIPMENT RENTAL NOUpY pAT[ <br />all /Z <br />