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't <br />i <br />1 <br />AP����;� / APPLICATION FOR SERVICE SERVICE N� 2 q q q <br />No. ORDER <br />CITY OF EVERETT WATER DEPT. ., <br />� � -, <br />DATE___�'.__ .�. ..197_L'_ <br />�- FIXED <br />i� DEPOSIT s L���•� ryp�'_ <br />_ __ <br />" , <br />/ / r�,"•. / .__BLK. I LOT L. _ADD:.i�_ t_.1-f:�_____'_ <br />SERVICE ior eoor{e�s�-1-� �� � �`� '.��,---. - �,�_. �k-_ —._ _ _ . -- _ _ �_ ' 4 ° : i�rr.� , <br />- � � � / <br />OWNER�� ._,.-'�l J �u� _ -- .. _ . ____ ._._..CONTHACTOR ._ . .__ ___. . _ ... _-. _ <br />/'/ �� FL.pr " <br />'. INSTALLI� _�METF.F.ED SERVICE:.. _ ._..___ -__..-._..__- -_ _- . . . . _.' __ <br />I I HEPEBY APPLY FOR TNE USE OF W�TEfl IN ACCORDANCE N'ITH THE �7 �� <br />. ORDINANCES AND POLICIES OF TME WATER �EPARTMENT NOW �i%ISTING �(�_� <br />' OR AS 5�ME MAY BE NEPEAFTER CHANGED BIGr+ED: .�� -`� `-`� -- <br />i-- MATERIALB TI M� IN.' � IN , 3 IN. ' PRICE AMOUNT <br />`PIPE .... COPPER GAIV'-STEEL �L—� �I I _____ ______._ <br />. . _ _ I <br />l'ORPORATION I_ _ __ _ _. __ <br />C1UR8 COCK OT _�� � � ------� I ,_ _. _. - <br />_-- _ <br />_ _'_ — <br />�_ ._— �. .r �'-' __ <br />SCRVICE BOX _ LAST�C�- C I I I I_ _ __ _ . __ <br />. ____- ' . __ _.__.— _ — - � _ . . _ __ . <br />� M[TER VAWE .. <br />__ _ , _ _- _ __ ' - <br />�--_ _ . <br />METER No. TYPE: I ti � � <br />�---.- . ._ -___ � —_'_ _I . ..._._ -.. .___ <br />_I_-'_ <br />� METER BOX CONCRETE SMALL LARGE <br />._- _. .-'__ ___ . -___-_' - _-_._ <br />�- I � <br />� _. ._. _____"� _ — ._- _ __'__- _— __. "' <br />�_'-_ _ __ _"_-'- I . <br />� __ <br />'_ _'___._ -_..__._.. ___.. <br />i I <br />� � __ _.- _' __ -_" __ '. <br />� I J <br />I— —_'_-'__- — _I_'_.—' _ I _ <br />I� __"_ ' _.- "'_ __- __.- - <br />l-__'_"_ '__'._ . . .. . ._ . _'_ _._ _.. . ___ . <br />� i _ <br />I �•�N � SUB TOTAL <br />� OATE INSTALLED: �.ctJ'J� '%� L'� OFF �/��� . <br />/ / <br />�HOUPS H�TC <br />rCODE I LABOq AND EOUIVMENf RENIAL ����� II � <br />�-_-. I-__ _ _' __. . . . . _ _ . <br />I' ... .. . ._ ._ <br />-_� <br />� „ 3/��- j --- — , ° s`�`� _ 3 <br />i--� — - <br />�� <br />i_ __ l — — -- . _ _ . <br />i � '`� ''U`� j <br />I _ -- .._ _ _ <br />- __ u _ - <br />�- --_ <br />�- i - - <br />I TOTAL <br />� REMARKS: <br />