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APP� . Z v�SO APPLICAT�ON FOR SER1'ICE SERVICE N° $ 4 4 <br />N�� � j�. GTY OF EVERETT WATER DEPT. oRoe� .�( l, /, /( <br />�� FIXED DATE..:�__ _1A �/ <br />n DEPG3IT s(�T �/C_ ..._ N O-- � �L <br />i ,� -,��� �b.�,lr-.m'/ <br />SERVICE IBYAODREe!)--�_/ / i� /l.-,� •�—� /✓ ---BLK._�--LOTa�/��L_AD[j.:.��-''-� 2R.Ct/ <br />� 1 r�..�Q flCw i�- �..a� I C�. <br />OWNER__ __-.—. __-____—_-__---- ---CONTRACTO��__' ' '__. -_ <br />, <br />7�� f �t - <br />INSTALL��__METERED SERVICE_ _ _. _. __ -__- —__-_-___._ - -_ <br />I HEPEBY APPLY FON 7HE USE OF WATER IN ACCORDANCE WITH THE � � �� �, �/� <br />ORDINANCES ANG POLIQES OF THE WATER DEPARTMENT NOW EXISTING � �- -��- % <br />ON AS SAME MAY BE HEREAFiEfl CHANGED. eicNco:X__ r�q��..�. �^'_-----G'�1 ,�-�1.-�-...'._ <br />I <br />MATENIALfl— Si IN 1 IN. I II IN. '—� PPIGE AMOpN}T <br />PIPE COPPER -• GALV. -• STEEL � �I_ <br />- -- ����=i-IT -- � <br />CORPORATION <br />CURB GOCK OT <br />9ERVICE BO% PLASTIG -- C I <br />M67ER VALVE {� 3 —7- <br />METER Nb. /� % I' � � j � �� ��T�E: �! j_ <br />.- ._�_-_____.._ -�-F1-0-=�`--� <br />METER BOX CONCRETE SMALL LARGE <br />I I <br />/ AN <br />DATE INSTALLED: � � � (, '�` � OFF t—r' <br />COOC � L�BOR AN� EOl11PMEYt AENT�L <br />�I�J <br />N;35 <br />I <br />- L��___ ' � __' <br />_ -'_'-I ____ <br />i � I <br />� Y'� SUB TOTAL 3 7 � <br />I HOURS I PATE <br />_�_I. _._. _..__ __ —____ ___ __ -- <br />--; - <br />------------- <br />_-_-� ----- - -------- <br />-� - <br />���? <br />REMARKS: r ( ' ' �_. �. : . I � i r- � •-_ ~ �/{ ' �.. I , ' � <br />__' '.. . �_.. . _.___ ' ' �. <br />. <br />'� 'i . ' � . . , � r, , <br />, � � �. . � . . . .... <br />I I <br />.___-.._._– –._ _. —____._.. <br />I —, I <br />i __ '– _ . '.__–�i � <br />I <br />- - __ ,;,--k= <br />, � . . _. � . .��' __. ._ <br />