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/� D' �� SERVICE �� 8 7 6 <br /> l .pppLICATION FOR SERVICE ORD� . <br /> APPI_. �� . ) <br /> "°' � - CITY OF EVERETT WATER DEPT. /�� , % �� <br /> G 6:'.'d' l./___i <br /> ,�O /J� <br /> �' FIXED L.�. W. O. --__ <br /> / No. <br /> � DEPOSIT S__�C� ��. - ) ,�/ <br /> / � ���.oLCJ,lp�� <br /> � .C�"��-C-�C;� -oLK.�LOT-���A <br /> � ������ <br /> BERVICEter�aoaEee��� / ���1 .�/� <br /> _ __.GONTRAGYOB- <br /> OWNER � -- _ . <br /> �� -FMT`- ��-� <br /> METERED 6ERVICG �,(����� e� <br /> INSTAL� �� ./�1L - � <br /> I HEREBY AP7LY FOR THE USE OF WATER IN ACCONDAN[E WITH THE �- {-� �yJ_,_.__ <br /> eicwco: x_--.�=-�=� <br /> ORDINANCES �ND POLICIES OF THE W�TEP DEPARTMENT NOW E%IS71NG <br /> OR AS SAME MAY BE HEREAFTER CHANGED. —� p_pi�E �MOUNT <br /> IAATENIALB �H IN. I IN. � 2 IN. I I/D <br /> � I �� <br /> PIPE _+'COPFER.. GALV.-- STEL"L _1�-- I� <br /> I <br /> _._ I _ <br /> CORPOF.ATION �__ i __ I�I__ <br /> CURB G�CK �T .----��---�I _�I I_. <br /> PLASTIC -• C � �[ � <br /> 9ERVICE BOX __ -------- '7 I�._ <br /> METEF: VALVE _______-. __-__ _-- -L ------ ___ _ ___ � <br /> _________ TYPE:i ���, .,.,r _I.� _ --_ __-� __— I <br /> METER No. Q_'���._Q,..��-f---�- __ — __ _ _'- __ <br /> SMALL ��-ARGE _ -- - I �I�)�! <br /> METER BOX _ CONC�_.--- I I __ 11-_ <br /> 5 L � <br /> --- I — �I� <br /> -_ _. _ .__I-_ - �I�_. <br /> __- ----- I� - - � _ <br /> ------ ------ --- i - <br /> _�-�� I ❑ CN SUB TOTAL / l <br /> ❑�OFF � �n / !�� <br /> ppTE INSTP.LLED: - , , : � Ma�ps p�TE <br /> I L�BOR AND EOUIPMENf RENTAL . . <br /> . <br /> �� ' � <br /> CODE , <br /> I -___—_�__II_.'�- I <br /> / "__--____.-_ ___.._ <br /> � � � .—" .-___— ' <br /> _���, r ��, , .,__ ---__- -- �I �- �, r �I' � '�I'-. <br /> - � �� -- -- � '� -�-- <br /> � __._----------- --- �--- ---�,-- � <br /> - -- --��- <br /> _ - - ----- '� <br /> , _ __--- <br /> - ---- __ <br /> -- -- <br /> i_ --�- , ,, � <br /> TOTAL il �5�� � <br /> .. . _ . _ . .. ___.__-_ 1 C -. <br /> _ -_'_-___'.'_'_ <br /> REMARKS �� - -- - � <br />