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z �s�s <br />APPL. 7� } � j APPLICATION FOR SERVICE SERVICE N� 23q$ <br />N�. � CITY OF EVERETT WATER pEPT. oR�ER <br />/� � } ��. <br />Q� FIXE� DATE_ .__ _. _ _.19.�— <br />. `� N�.� __ .__._ <br />' �DEPOSIT s�� p� ` W. O. <br />-L .� No..___—__-_.-. <br />, � �/� � � ' "{� �_ � /'1 � <br />i SERVICE(BYAo0HE88) '� ._�C�1��__!- LK.-__LOT_- _ADyt��tt�-��_— <br />/}7 • / , , •.-;.<�r,c� (/v�.G�. �ILJ 7.__!S <br />� OWNER—L�'L.'��[•�.>`!LII.1'.��.__f�___CON7RAC70R_.—_._._-__— <br />� FLAT�- --.--.. ___—_. <br />; INSTAL `�METEF.ED SERVIGE- _—_ _ , .._____._____.. _ _. _ _____ <br />i 1 HEREBY APPLY FOR TAE I15E OF WATER �N ACCORDANCE WITH THE / J <br />I ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW E%ISTING ,( /� �,/> / � / <br />OR AS 5AN.E MAY BE HEREAFTER CHANGEU. yicH[o: 1�1 .� i__�/(1.L4.l�_P. �(__._ <br />I - - <br />� MATEPIAIJ � V� IN. � I IN, ii 2 IN. � I � � PfiICE <br />�I AMOUNI <br />I PIPE _ COPPE �•- GALV. -- STEEL _ <br />I CORPORATION <br />i CURB COCK OT ____ <br />SE4VICE BOX PLASTIG -_C I __ <br />� METER �!ALVE <br />�_. _—_______ .. ._...___-__ _.__.. ____. <br />� METER No. �s��t(f(_ ' _ . TYPE:h:�/ff�}/ I �.f <br />��• / <br />� METER BOX CONCR[TE, �S`MA LARGE <br />__- �_—_ <br />i Drt <br />� OY <br />DATE INSTALLED: //_�y� 7/ � OFF SUB TOTAL <br />V <br />CODE I LAOOp AND EOUIPMENf NENTAL I HOl1fl5 q1TE <br />� L, a.aiy_-- -- --� 7 - <br />— — - --- --- -- /.Y' !/1--�-------- -- -- - <br />---�-''- � - ---- - --� '' I 7 <br />— --- ---- - - - <br />, i��� -�t �--- -- _ - - - - -- -- — -- -- - - -- - — <br />—' - — — - -- _�3,2 �'------ -� 3— - — — --- <br />i S' N�� �' � i�- i c' �.3 �.L I� <br />--- - — --- - -- - -- — <br />- - - -- --- -- — <br />��, M�i<. / � . f,. � <br />-- --- _ _ - ' - — <br />---_ _ - -- _ _- - -- <br />i s�.�,fl /�j�.fr� I <br />TOTAL <br />i REMARKS: L�;_�. �/V/lI'!__.' _._/_.[_ ' _. <br />>� ��___._'-_.__- _______._._-___ .-_ <br />