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� <br /> � <br /> 4 <br /> � <br /> I <br /> I <br /> SERVICE ^� �� �? =,� <br /> App��� � � EITV dF EVERETT oaoER NO. ,, :_ (� •y <br /> N°• APPLICATION FOR WATER SERVICE �9 <br /> DAT —19�-' <br /> � FIXED � yy,p, <br /> p � No. <br /> � DEPOSIT s ���� �� -� ._ f ifFd•i_ �� �'�' .: �`: 7 /� � � p /� • <br /> � /A/� �l '"� �_BLKJ•�—�7�—LOTY_-2�A�-4L��X4N <br /> SERVICE l0V AODREB ) �� <br /> �� .��%��/-4.GGj GONTRACTOR--�- '— <br /> OWNER <br /> � i' -- <br /> �'�� F.D SERVICE ' <br /> INSTAL� � � <br /> I HEREBY APPLV FOR THE USE OF WAT"eR IN ACCORDAHCE WITH TIIE � �� <br /> ORDIN�NCES AKD POLICIES OF THE WATER DEPAR7MENT NOW E%ISTING BIGNED: X � � — <br /> OR AS SAME MAY BE HEREAFTER CNANGFO. pp��E AMOUNT <br /> MATERIAL6 k �N• � �N• i z �N. I I � <br /> `Y� COPPER- GALV.--STEEL ���, _�_ ��-- <br /> PIPE �Lf�.� A�� _ � � __ <br /> �/ / n j^ ` _i _' <br /> GORP _._�-��-=�-'�- _ <br /> ��- � <br /> CURB GOGK �T I ' <br /> SERVICE 60X- PLASTIC -• C I - <br /> �1 .i '1— c'.� _...�� <br /> METER VALVE �_ __ y----�"— -- — <br /> �1 . ^�. VPE� LI�I K _�_ <br /> METEf< No• Fj �J--�� ' '---1 ___ — ' <br /> METFH fiOX NCRETE�. Q _�,SM'l P��- LARGE �__I _.—I-- <br /> ��.:�F'`:.'+�j <br /> ��;� .✓ _.�!�� _���. .-.,:., �:_ . � —� � — — <br /> �'�/t� .(:�-_.�: _�� � / : `/ � __I -- — � <br /> � . `- �_�I — — <br /> i�_—'".'"e�' '`�• _ <br /> .. � -.;� 7 ,i <br /> - I I <br /> ��— i ?�.7, �N SUB TGTAL <br /> DATEINSTALLED: � f� � ��F <br /> I HOUR9 RATE <br /> ��� � � � L�OOH AND EQUIPIIEnf RL':TI,L <br /> COO[ � �— � - � ^�i � <br /> � � L <br /> I 1 y� __ <br /> �--I �, �. (>�.vt-(:-.,...-' I J - — <br /> :�" I�� <br /> � _- i � _� /_-----�i �.. — <br /> -- -- �-� ..K, ... t �,�_ <br /> i --- I _ I __ <br /> � --� <br /> I----- -- I � <br /> I TOTAL <br /> REMARKS: _ —_ — - T <br />