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A�'P�-• ��� � APPLICATION FOR SERVICE SERVICE (v� 4 5$ <br /> No. <br /> �--�-.;7 CITY) OF EVERETT WATER DEPT. ORDER <br /> � FIXED (� / � DATE/� ' __� 18_ <br /> ��� �(a . ��.L�� Lc .!- .'-rc_��' - <br /> � DEPOSIT �- l�f' _ W.O. <br /> No. <br /> �� �� � . . �� � <br /> .��T <br /> SERVICE faYnoo /eae) / , l BLK. LOT_ ��D. <br /> ��NEa ���t<..lf''LI`�'.�J �JJ�) -�'—+��_,�y—' `!—G�ACTOR <br /> ' 1 ti[c-� �� -fblT= - ,/ . . �� • <br /> INGiAL�- '- � .METERED SERVICE /.t<_�'��.,.�+,. J '.c�. : j:LCr� ,.;'y�}�„ .�.�.u� _ '��.,� � �!.,._�,. <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITN THE � �� • <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING r J — � ` -��-��� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. aicrvEo:JC-�`�"°��•'•��--��' Y`",'.% " 7 <br /> MATERIALS � IN. 1 IN. � 2 IN. � FRICE AMOUNT <br /> P�PE COPPER•-GP,LV.--STEEL "� I � � / � <br /> CORPORATION _ � I � R �, <br /> �J <br /> CURB COCK OT I <br /> SERVICE BOX PLASTIC -• C I I <br /> METER VALVE / �i, <br /> —�— L.1... <br /> METER No. �/�f9�' /0__ /G9Q T7TYPE:r^ i I 9f _ � ���� <br /> METER BOX CONCRETE '�`� SMAL11 LARGE � 7�O <br /> /�5' e � � I (J I � <br /> I I <br /> I I <br /> I I <br /> I <br /> I <br /> ON <br /> DATE INSTALLED: ❑�OFF �l� SUD TOTAL SC�O <br /> 7—:�� - .. c� O <br /> CODE � L�BOR Ali�EQUIPMENT RENTAL HOURS RATE <br /> � ���_ �. �� _-�, � � ' <br /> _ i�N�_�Q - i _� --1i I. _ <br /> _I - <br /> _ � - -�-- --I� _�- <br /> — I __--.___-- I TOTA� �� <br /> REMARI<5: �.,; „ <br /> . i i%v.%.,t� - <br /> . . . _ __.. _ __ .. . . . . ._. __ . . . � _ - <br />