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APP�-� /�7 � S APPLTCATION FOR SERVICE sErxvi E N° 5 9 4 <br /> ����5 �T� OF EVERETT WATER DEPT. �RD R <br /> FIXED � DAT ����1�� <br /> ° :�l c�'. �-�-,��_�_,. � <br /> .� _ , <br /> � DEPOSIT � - W . <br /> -_-__-_ No._.. <br /> 9ERVICE �er�ooneca�__ ___/��S' `"`{�� _BLK..-__-LOT. . __ �ADO. ___ _ <br /> �_--. _.- <br /> NER � :7_ _. _ '_- _-___-_-'_-__- _ __ C TRACTOR_- -{y�}�__---___.'.___'__'___ _ <br /> rl0<i�_�� FLAT � �� �, � �-.FAU.t '� <br /> � <br /> � n <br /> • —A�.ifK6SERVICE_-.�e.�'l•-;�Jt[_l'-lr- -�h��`- - J w•a-�.l,. a,. <br /> - ---�-1 ---- -- —?{ -- ---- <br /> I HEREBY APPLY FOR THE USE OF WATEP IN ACCONDANCE WITH THE ,'�/ ,__ Il � <br /> OROINANCES AND POLICIES OF THE WATER DEPARiMENT NOW E%ISTING /1��' _� 1��- _ <br /> Ofl AS SAME MAY BE MEREAFTER CH�NGEU. slcHeo: %_�`._ ______ .. _ � _____ �__._ <br /> M�TERI4L9 !i IN. 1 IN. I 3 IN. ' I PpILE AMOUNT <br /> PIPE COPPER -f•ALV.•-STEEL ' _ I __ _ _I_ . � '�'. � / _I�_ <br /> '__'_ '`___'— _____-'.__._ - �.� _ <br /> CORPORATION II <br /> �.CURB COCK �b�}___ -__-- _-___ �--i - � . / <br /> SERVICE BOX ( PLASTIC �- C I ____ / I � L /,. � <br /> METER VALVE <br /> ____ __- __ —_ __ _._ _'__._ <br /> __ .-_ <br /> METER Na_ ....._____________..-TYPE: _ I 4f <br /> METER BOX CONGRETE SMALL LARGE I <br /> _ _---_-_______����-� '� --�_ _—I ____ _.. �.(��l I �/I���' <br /> -- ' ---- --y-- - -� -i- �--i-. <br /> � <br /> _ , - ;-- <br /> - - --- - --- --� _-�- --- - _ <br /> i � � � <br /> y � ON C <br /> DATE IN9TALLED: -/ ,� � � _ � � I � OFF .� SUB 70TAL -����1'� <br /> COD[ I LASOR ANO EOUIPMENf pENiI.L MOUR9 RATE <br /> _�•�J1_—�L..�_—.------- — ------------I—�-- — I---- <br /> M I <br /> ���. - �—,- — ---,�,—��.I—_- <br /> CL � <br /> _ <br /> � -' <br /> , �' . � � � i <br /> � L.-f t J i.�-.�� <br /> .-- _�._ .. _._ _ __. __ . .. _._. ___ __ __.__-__ '_ .. __ . . . ._ -___.- ___ _' . __ _"— ___' <br /> --'h/ I � � <br /> ��-_- _ -- --- __ __ _ �----i-- - <br /> I L� - ��� I � � <br /> TOTAL �. �� I`�' ' <br /> . ,• <br /> REMARhS: p ' <br /> —_ __. _ � �__ P_ _ �i__•.r _ �-- r,ac�__ -.71ir��-.. --,. . - `�L`��.�! �� t � . _ . <br /> I ..«a_ �� �: . <br /> � ' ' <� �.: � _ <br /> G,•r . . Li�.'r(.1 . � �� . 1 . ._ �'_. ._ <br /> 1 <br />