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i <br />APPL,4;��/� APPLICATION FOR SERVICE <br />No. <br />CITE' OF EVERETT WATER UEPT. <br />IXED <br />DEPOSIT - Q p <br />=-ORres) / Z — 0 ��s 7• BLKy' LOT. <br />SERVICE 11,Y/A/DDN►BB) <br />.......tee A %., KCt--, /.`JtI�i Elsa S CONTRACTOR-c� <br />iFLAT <br />INSTAL I Mi1MOWIS FBERVICF <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES <br />SAYE MAY BEHEREAFTER HCHANGED. DEPARTMENT NOW EXISTING <br />BION[DI X <br />BEPVICE ND. 1 771 <br />OI?DER ��7..••�� <br />DATE—IOS2 <br />:a <br />MAT[RIA.[ <br />'6 IN. I <br />I IN. 1 <br />! IN. <br />I <br />v PRIG[ <br />AMOUNT <br />I PIPE COP ER - GALV. -STEEL <br />,l <br />_ <br />CORPORATION <br />I <br />_ <br />.URB COC <br />I <br />SERVICE BOX PLASTIC C <br />METER VALVE <br />I <br />_. <br />FMETER No. — TYPE:-- <br />L METER BOX CONCRETE SMALL LARGE <br />ON <br />DATE INSTALLED: _ _ ErOFF <br />SUB TOTAL <br />COD[ LABOR AND [QUIPM[NT RENTAL <br />1/CURS <br />RAIC <br />TOTAL <br />