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�+ H [A <br />HEM <br />HC A <br />H '?7 <br />to <br />fn H <br />OH <br />�R,8 <br />9HI <br />t"HH <br />814 <br />00CA <br />� <br />N En <br />HOTn <br />C:) <br />QJ <br />rL rl <br />(UJ <br />APPL.CITY OF EVERETT <br />No, � -793-(o <br />APPLICATION FOR WATER SERVICE <br />FIXED A.4 <br />DEPOSIT S_�Vo 7/5 <br />SERVICE (BY ADDREBEI <br />SERVICE <br />ORDER <br />� DATE..Z_�. <br />5856 <br />p <br />190 t.. <br />W.D. <br />No._ <br />ADO <br />INSTAL METERED ERVICE_L6P1/-D <br />1 HEREBY APPLY FOR F WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. BIONED: % <br />MATENIALB <br />II IN. <br />1 IN. 1 A IN. <br />1 I <br />PRICE <br />AMOUNT <br />PIPE COPPER -• GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -• C I <br />I <br />_ <br />—_- <br />METER VALVE <br />METER NO. X LZ3 _--_-- TYPE: ToelpaT'i_ '4__ <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: _ J <br />v <br />ON <br />OFF <br />SUB TOTAL <br />CODE I LABOR AND EOUIPMEN I RENTAL <br />HOURS <br />RAT[ <br />TOTAL <br />REMARKS: <br />