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�NN�. /Q / O O APPLICATION FOR SERVICE SEf7VICE No � � II <br /> No. V ORDE � <br /> CITYJOF EVERETT WATER DEPT. � -7 <br /> / i <br /> /�ix o � on ,�t r , i C ��.'1– <br /> � �/ ,� f f---- <br /> - �' � ' � .ltic��e_:" w/ — <br /> C� DLPO5IT g,/�i/1�_ -� .. . <br /> _"_-_" <br /> _. n <br /> �_.'-'_- N6.—---------- <br /> SERVICE IBl' AO�PE881_ _ .� / -/��- -.�Q�'�:""�.�" "�"�LY.. __. .___LCT _._ ._ADD.—____- .' <br /> �WNER_- -. .. -_. -_. ._ .. _ _ '_. ____ _. .__CONTHACTOR _ "_'_-_ ._'_____. ._ <br /> Ll+Ltf� .�� �� FLAT <br /> lNL7ALl___ . .__ .MCTETtFO SERVICE- . __ .. . _ . - -� _ — _. . -_._.___— <br /> I HEREBY APPLY FON THE USE OF WhTER IN ACCOFDANCE WITH THE / <br /> OR�INANCES �NO POLICIES OF THE WATER OEPAflTMENT NOW E%ISTING /�--Q-�et{./��� tt <br /> OR AS S�ME MAY OE HERE�F7ER CHANGED. emncn; %. � -- ---� -��--�- -� -� <br /> ia�rv.niue �" ',: in_ t in. � a iN: , ; PRICE AMOUNT <br /> - —�_— I // <br /> PIPE ' COPPEF�- �ALV -STEEL . I� I I I I _ __'-�� _�({..�I II�_ <br /> ".' ____ ��._a—_ '___' .___' —_ .._' . __-._- _'.'I __ _ <br /> p i <br /> COFPORA710N _-__ <br /> —__. ... _ __ .-_— . ._— _ _--__ <br /> _ . _ <br /> ��RB COCK OT � � _' I�� __ 'I'� _�I��.J <br /> . ._ _' _- - '_ _ __'__— _ _ . ' _ ,/ _' <br /> SERVICE BO% �PLASTIC •• G I I I '� 7 � <br /> a^---- <br /> _ - _ a' _..- ..- .._ _ ' ._ ' ____.' -- �_ _ _ ._._� - <br /> METER VAWE . ___!I- <br /> _.... _ . . . ._ . _ _._. ._ _ — _- _._. <br /> ___—'_ "__ - . "'-- <br /> METER No. TYPE: I '< I <br /> � ._ __ .. ..__—"- _"— __'. . .. _ .__"y--_--__ <br /> METER BOX CONCRETE SIAALI IARGE ' � � __ <br /> -_—___. . . ____'. ._ _— — — _ _. <br /> ---- _- - -__ �:---�- -�--� - - - -�• 33�� 3��9 <br /> - --------._���,--�,- - �-- ---- L',�`, <br /> � I <br /> - ---+- -- - - - <br /> -- - -- <br /> �� i I I -- - .. - - �- - <br /> - ----------- - --- - - ——!_----.—, -_ � --_ -_�— <br /> r-r�N � . J � <br /> DATE INSTALLEO: .,_/ , . � I � OFF4 SUB TOTAL /i � �� <br /> � /.] ..�.�.� <br /> CODE I LABOp �NO EQLIIPMENT RENTAL IIOUR9 R�TE I <br /> , I i <br /> I <br /> / , <br /> . _ _'1_.__ . __._- ____ . __ . . ._ ._ __. . __ . ..__. . _. .__ _.__.__ _'-.- _.____ �-".. .'.__-_'I_�_L_ <br /> __. .._-_. I i I <br /> _-,� , ' J"-__-" -_ -__1'i ' '• <br /> -. ��„ n �__ _ __--_" __- I <br /> I � __� ' <br /> _-_- _ ...-.. ._' <br /> . .. . ___�__—'__ — , � i ' , il . <br /> ,�_1! _ - �_�_ � �—� -� _ . t - -- = I,--�,-- <br /> __I ----'--- <br /> . I_ '._ _ _.. _ . . __ _. .- � � TOTAL I�) <br /> REMARKS: . . . `-- I . <br /> i <br />