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' Q d � 9 APPLICATION FOR SERVICE �ERVI N° � � 8 <br /> APPL. ORD�R <br /> No. � � CITY OF EVERETT WATER DEPT. � <br /> /�<�-li 9 DAT � "�i111�� /�fA� <br /> � FIXED /^ W � " - <br /> rYi DEPOSIT g /�J � � No� — - <br /> ra �J �J2 /� � <br /> G{ O J� '-Z�/CL��L-!%f�L'�1�� OL _LiC>TJ"i-�C�.ADD._'�1� <br /> SERVICE (BY ADDnE68)—.— V/ � � _ i1— . <br /> 2U_ 9t�Lc�r.. , La�-�d� <br /> OWNER— — —CONTRACT R� �—� �- , <br /> t tY1C `�'7 � <br /> INSTALL��METERED SERVICE-- <br /> I HEREeY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �/ � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING sicNeo: X...�� -��`���� -�� - <br /> OR AS SAME MAY BE HEREAFTEfl CHANGED. <br /> \1.1TERIALS �r�i IN. 1 IN. � : �N. j �^ PRI AMOUNT <br /> — COPPER - GALV.•-STEF_L iJ� L_� �"�� ' ���� <br /> PIPE `/ I �I � / � <br /> (�' <br /> CORPORATION _ -- — <br /> CURB COCK OT � --I —� �I I , <br /> SERVICE BOX PLASTIr -- C I - — I ����. <br /> METER VAWE ___ ---� — I���� , <br /> laq4=.v1..7�3�--T— — —�--- - I <br /> METER No.✓ S TYPE: y.�,�,,/ � ____ _ — 7 �� <br /> � � <br /> METER BOX CONCRETE MAL LPRGE � ___ -- -- �I�I h I <br /> G��. y° € .,�n'',fr,. _�I I , -- <br /> - i �1�- <br /> _ _�II _ - _ - �- <br /> -- ,� i <br /> ❑ °" 79� <br /> DATE INSTALI_ED: , � 7 <br /> �FF SUB TOTAL <br /> L�601i ANO EOl11PMENT RENTAL 'i MOUPS RATE <br /> CO�E -_ ! -. ' � <br /> � /y I S �, � .. �' � <br /> �_��., a•_- —_ -- �I� I <br /> I — <br /> j�_ '1.:r ��i � /� ' U I <br /> --���- � —=_,� �_. <br /> --- � �—.. <br /> � ---=.'-- <br /> _= .� i It :�� r. I � i "rT <br /> _��T.��'�------ �-�-�__L-�T-_ � ---��� <br /> - � To- T� //9i 90 <br /> - i <br /> REAIAF.KS: <br /> _____-__ _____-__ <br /> _ _. ___-_—-_ <br /> ___ -__' <br /> _'__ <br /> -_'__'__'_'_ _.i. <br />