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APPL. / � ��' � APPLlCATION FOR SERVICE SERVICE rJ° 6 'I U <br /> No. OROER � <br /> � n CITY OF EVERETT WATER DEPT. �/ � <br /> � FIXED �/S�� DAT "'���_19_ <br /> �f DEPO3IT S f �n� W.O. _-- <br /> iY J No. <br /> SERVICE (BV ADDRE64)_� �i4'�'C"h-��� OL —LOT ADD. <br /> OWNE CONTRAC7 �'��Y����`Q�i'!����'"'�, <br /> .� ( q+L3F � <br /> INSTAL�—METERED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORO.'.NCE WITH THE J ' <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HERE�FTER CNANGED. elcr+eo:X ��� � <br /> AIATERIALG v� IN. 1 IN. � � I ,�E AMOU/ Ia <br /> PIPE �COPPE - GALV.•- STEEL ,3 I O I I � <br /> CORPORATION _ I� � ��_�L <br /> CURB COCK OT I �j I <br /> — _ _�_' I _ <br /> SERVICE BOX PLASTIC -- G 1 I I�� <br /> METER VALVE / L � 3 <br /> METER N��eQi��12���X�l TYPs: 'I _� ; — — — ___ 3. � � . <br /> — ,, <br /> METER BOX ONCRETE �SMAL LARGE ��G) <br /> /�e - .-. I , l � - --- —���I� <br /> — -- --�—� <br /> i =- _ ��-_ <br /> — -- - � �_. <br /> —I—�_ — — — <br /> I I I I <br /> � ON �7 <br /> DATE INSTA�.LEO:� �-OFF � L� SUB TOTAL �:}C / <br /> i <br /> COUE I L�BOR AND EOl/1PMENi RENTAL HOURS RATE <br /> I / � lA � ._ �' � II !/ fG� <br /> I j I� I <br /> ''lk�-(V -- —;�— --'� I: --�--,- <br /> I <br /> --- - — --� �! , - <br /> � ���- � — — �--�— - ' �� ��i��_�° 1�-- <br /> 1 <br /> 3 TOTAL I 7�.U�j <br /> RGMARKS: <br /> . _�--- . -- _ f— <br /> _!'-�'-��-3�-- - _ _ -- -- - - -----------'�- <br /> � <br /> � <br /> I <br /> i <br />