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No. 7_6> 7 CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />FIXED <br />[� DEPOSIT •i-__�'G-g' [ �Iyy L <br />SERVICE 'My ADDREGGI '-��l •'�k S�-, BLK.,, <br />OWNER_...._ J.-„__[_LL[.p.(-r -CONTRACTOR <br />>rLA <br />- <br />INSTALL—NTE7ERim SERVICE -_ <br />SERVICE <br />ORDER <br />NO <br />5567p <br />DATE_�(a_�-t_ <br />I l.I SO�7— <br />W. O. <br />-ADD.-- <br />I HEREPY APTLY FOR THE IISE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES iNO POLICIES OF -HE WATER DEPARTMENI NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANCED. SIGNED:X <br />�_ <br />PIPE COPPER •• GALV.- STEEL - <br />CORPORATION <br />CURB COCK <br />WIN. <br />�I <br />1 IN. <br />■ IN, <br />I <br />PRICK <br />AMOUNT <br />SERVICE BOX PLASTIC •• C I <br />METER VALVE <br />MFTER NO. TYPE:_ N <br />ETER BOC LARGE <br />Is <br />I <br />DATE INSTALLED: q <br />�%O��Q � 9? <br />!LABOR <br />I OFF <br />SUB TOTAI. <br />COp[ AND EOUIPMENI DENTAL <br />�J7�� H�nf_U/RAG <br />RAPE <br />TOTAL <br />M1CMN1(M1�: <br />