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A�'P� ��,�� APPLICATION FOR SERVICE SERVir'E �� S 5 O <br />No, � ORDElj. <br />,���ti�, CITY OF EVERETT WATER DEPT. J;� �� <br />� FIXED DATE:%< <= � � __�l I_ <br />n <br />� DEPO3IT s�>��...� �— 1N. O. <br />— _ _' No._—���'T <br />/ � ��yLl i�L r�t e r <br />7 ' <br />SERVICE (BY AODPEon_ (. �=].,7 '�-J�_� r_�-� __ _BLfC._ LOT� ADD� "P t'L'�'Q , � <br />OWNER_^ r r�2_r /I� .� _(.� � I1.,' (�1 [ � �'. I, �-.c.'CONTRACTOR... �.._''�. ! �t{� � �� <br />��� /.',,,�q� —__ __..._ __.__' _. _. <br />INST.4LL ' ��_METERED SEF'VICE_—_ _ —.- ____.__.__ <br />I HENEBY APPLY FOR THE USE OF WATEN IN ACCORDANCE WITH THE --_ /���—^ �� � <br />OR�INANCES AND POLICIES OF THE WAIER DEPARTMENT NOW EXISTING / <br />OR AS SAME MAY BE HEHEAFTEP CHANUED. ewN�o:%___ ., SLL�� s'... �)�__L_.��_" � <br />1 <br />MITCRI�ILO =L- ', y IN. I--i I PRICC j AMO�U,N�T�� <br />i� IN. 1 IN. <br />P�QE COPPER •- GALV. -• STEEL I �� //{ri, J <br />-- - -- - -- - -- � � .-- -�-- � - ! -�-- -=='-� - �kl ! <br />GORPORA710N <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />ME7ER No.i��l <br />METER BOX <br />OT <br />PLASTIC -• C I <br />/_�-%-5-:1--LL.,4i TYPE•._1.�Y.!'�_I-I_i <br />GONCRETE , iSMALL� LARGE <br />� ON <br />DATE INSTALLEO: � . f �� OFF <br />CODE I LABOH AND EOl11PMENT PENTAL <br />I �'� ' ... . _ ._. ._..___.__ _._... <br />I <br />I �� <br />/. <br />SUFI TOTAL II ��'��� <br />NOUR6 RATE � <br />, - �I <br />� I <br />i 1. <br />i_. .. i �-.. <br />/ <br />� <br />I . .n .... — . . <br />� i / l . <br />� <br />�. __. __.__ . ( . i . 1 <br />_....... . . .... . ...... <br />, ._ . ... . .__ <br />� <br />.._.. . _. -.... . .. _�. ___ <br />. .. .. . ... __ _ .. _.___ ...... . _ _ <br />I � � <br />/`� <br />REnIAR1:S: <br />—__ ..__-. _- ___—_. <br />.�� � �''.. �'/ <br />