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'r:•�. �OJ � 1 APPLICATION FOR SERVICE SEI7VICE N? � 2 O ;� <br /> No. <br /> ' - : , CITY OF EVERETT WATER CiEPT. ORDER .� <br /> ,� FIXED � " -� ! <br /> DATC. '_-. __ _ ._._'_1B____ <br /> � DEPO8IT s ( �/" '_'_ • <br /> -__._- . _ W O. , <br /> No <br /> n , ; ij� . �� �--�-�y-- <br /> / /� `� �T` �J�+-�'�fi!!�.f'i <br /> 3ERVICE IeY ADDREu)_ -� � � 't (/ f f".'i � / <br /> .�__._ _ _-_._�__-_ '/OLK._.__ 10T.� ._ADjS1�i�!'� <br /> OWNER ____. — _. ___.--_________CONTkACTOR-:J i_ .- :-.'i=_ i_�./� ,�,�j — <br /> L�� !I �„�.I J FLA7 -- <br /> IN87#LL_�MGrEg�p.SERVICE_._ . __ __- <br /> I HEREBY APPLY FOR TNE USE OF WAiER IN ACCORDANCE WITH TfiE � <br /> OHDINANCES AND POL141E5 OF THE WATER DEPAPTMENT I:OW EXIST�NG �,% � •� <br /> OP AS SAME MAY BE HEREAFTER CNANGEU, etcneo; X..:_ ._�j �t�-p��� <br /> �_ <br /> MATERIALB ?4 IN.� 1 IN, i 2 IN. � i� ppICE AMOUNT <br /> P�PE COPPER•-GALV.•- STEEL —--- --_— <br /> - -� ---�-^r --�_- i- <br /> - - - - <br /> ---- --- <br /> CORPORATION I I <br /> i <br /> _'—_______'____'____ ' -- i <br /> CURB COCK OT _ I � I <br /> SERVICE BOX _ pLA371G •_C �_ _ I — r— <br /> METER VALVE �--- -�-���� � <br /> _ _ -___ . ._._. _ ._____ _ .______ <br /> ____' __ __-_ <br /> METER No. TVPE� qS ----- — -�... <br /> . . _ __ . ______ - . <br /> __ _.._—_ — <br /> — .._' . . _'____- <br /> METER BOX CONCRETE__ SMALL _ LAHGE <br /> - ____- ._—_____-___.— - '_ I _- _-_-_ —_ _� i=.- <br /> __--"___-__— '-- — I ' —_ ��I <br /> _'_ <br /> - _' '_ " _'—'___-_ <br /> _-'_ _' I ` I <br /> __'__'_ ___'— .___ _ —'._�--'___ <br /> -i___ _ <br /> � i � - -�--- ---- <br /> I � ON � <br /> DA7E INSTALLEO: .�" ��, /��jl� n OFF SUB TO7AL <br /> COOE LADOq AND EO�IPInENi PENIAL NO�qe qATE <br /> I "—"—__' --_—_—"___—__'__ I <br /> —_ __ _—___--___'—____—__'__—___ <br /> � <br /> � I il__— i <br /> � —_'____'_ "_—_ ______ <br /> ---__ _______ —____"_' <br /> _ __— � <br /> I <br /> — --_"_""__—__'____.___—_ i I <br /> ___—I —____ _____ . _. __ _"_---�. I_ <br /> —_.__—_—.—__ <br /> ____ _ . <br /> _ I I <br /> _- __-__'___"__—"____' ' <br /> "_ __i_ ' __ ._._" �_— <br /> ` '/ I <br /> — � TOTAL <br /> REMARKS: • --�— - <br /> / � / ✓ I � C' ' . , . <br /> i �. � . � � '. <br /> _—_"_ r-./_.`� . . ._ - ' , <br /> �]-�. i- I� __._ _ . , .- . . � � - <br /> .� �. <br />