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2 4 v/� APPL�GATION FOR SERVICE <br />APf`L. . <br />N�. CITY OF EVERETT WATER DEPT <br />� ?�', �; S <br />�' F�XED <br />`�� <br />� DEPOSIT t _n_.__ � <br />'-�1; � � h-��1 "S.G� �-�-./t �'.` � BLK <br />SEfiVICE IBY AODXEB/1'-_ - _�— .-L--.-- <br />/� <br />OWNER 3 _---------CONTRACTYRL'_ <br />/t/' FJ.,��'�� <br />INSTALL� —M�6�£IiG6-BERVICE–___. -- .------ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDIN�NCES AND POLICIES OF THE WA7ER DEPARiMENT NOW EXISTING �laneo: X–_ <br />OR AS S�ME M�Y BE HEREAF7ER CHANGED. <br />MATEPIALB Si IN. 1 IN. �] IN. <br />p�pE COPPER -- GALV. - STEEL L��I <br />CORPORA710N ___ <br />CURB COCK 01' ___ <br />SERVICE BOX __ PL $71G.�- C I <br />METER VALVE _ <br />____ <br />____._ _ –__ _'__ ____' _----- <br />METER NO. TYPE� I °�' <br />_. _ <br />METER BOX CONCRETE 6MALL LARGE <br />-- n ON <br />DATE INeTALLED: /` r/ ( n � OFF <br />�, �� <br />COO[ � _ I�BOp AND EqU1PMENT 11ENTAL <br />�(. ._� , �: r+ <br />I v <br />SERVICE �� 9 G ? <br />ORD <br />onr _�liicl �1' �a� <br />-r�--- <br />W. O. <br />No. — -- <br />i <br />� ADD.���lt � �/!!/• <br />_�____ <br />�r ,,J <br />•%t .t i ,� C A.7 _L[i . <br />------ <br />i - -- -- <br />-- <br />- -- ----- - -- <br />--- __- --- - --- - <br />j_ _ --- - I -- <br />� i------ <br />_...- -- ------ <br />---_..--- <br />, _. / . . , _ <br />REMARKS: . ./'1__"�__'__ L. L_!�l� _'c . _y' \7 __. .... .___ _. . ___ � �. 1___' _"__.._ <br />_7„__ : . � r <br />( . r � � . _. �' ' �i � ' ( . - _. . . <br />. ____ l_i--"� .. . . . ._ - _ . _ _ � <br />PRICE <br />SUB TOTAL <br />II1R9 I RATE <br />�- <br />�Mour+r <br />� <br />s <br />' ����L __ <br />I <br />il � <br />_ _ '_ i _ <br />~ - - -- � �=-- - <br />_ __ ._ _ 5�.. <br />