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p'PPL' / 9� V 9 APPLICATION FOR SERVICE SERVI�E N_ 6 6 5 <br /> No. � <br /> ORq�R <br /> /���� • CITY OF •EVERfTT WATER DEPT. ; (, � . l�' <br /> � FIXED '�D1�T@�� ��� —79_— <br /> �7 i <br /> � DEPOSIT s I /� . � _� 1V. O.V <br /> �Jo.__ <br /> i�L f�-t' L 1 6LIC. <br /> SERVICE er�nopeae> � � � � «��-�'" _LOL"��/ADD. <br /> OWNER �L��•- .� `>Sii 2-i�� GONTRACTOR�.�X_'.'"�-c— "'"",\'�[�5,:r� <br /> � /�/f' <br /> INSTALL�✓-� � `E RED 9E"RVIGE ` <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOROANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WHTER DEPARTMENT NOW EXISTING t). � �J <br /> OR AS SAME MAY BE HEREAFTER CHANGED, slcN_o: X ���� //1��_y�L./ ) . , <br /> MATERI4L8 }i IN. 1 IN. � 2 IN. PRICE AM� <br /> P�PE .-�COP�R�- GALV.•-STEEL : ;�i / <br /> �ORPORATION � -- — — ���K,� <br /> - - �� •�L.� <br /> CURB COCK OT I --{II I <br /> SERVICE BOX PLASTIC •• C I j i I <br /> ,---_ 3 <br /> �.r1AcTER VALVE , r <br /> --r -_' <br /> METER No. �j'.: S-��'�%S 4 D' ' i TYPE'•� I eg' ---- —_— 2 � „ <br /> —_ ,�i1.1'—L.— � /��.' <br /> � METER BOX.��NCRETE .� � SMALLl LARGE � _ � �i�j <br /> — I __ -- � <br /> _ —�� � .l� /L - _ - / �I I I �YJ� <br /> — �I �� <br /> , ; ---��- ,-. <br /> -t--, , --� - <br /> I � ON <br /> OATE INSTALLE�: `� , _ , , ` � i �OFF � � SUB TOTAL �' �J <br /> COOE � LA90R ANn EQUIPA!ENTpENTrtI HOUP6 RATE <br /> f I J r, � <br /> �iz"1 z�z...,�. <br /> i " ` J- 4 --- --- � -- - �i--�-'. <br /> - �=="�' �'�--- -- ---- � � _ _�, � �. ��_��_ <br /> - � _ � li i <br /> �- --- -- - -- - - - -- � - - --���- <br /> -, <br /> �3 , - <br /> _ � <br /> � T07AL ���+ <br /> �EMARh"5: i . � / <br /> %� /./ — __ Y.�7____ - "/. 'it �- t /�+ � /� % <br /> .� .: c ,: � . <br /> ' � � JL .. , . " "�. .. � . <br /> _1.0 / � _ ' : __ ._r_� �1 .__' -�-' <br />