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APPL,� Os �a� <br /> No. ' ARPLICATION FOR 3ERVICE SERVICE No � 2 ]$ <br /> ��'���� CITY OF EVERETT WATER DEPT, ORDE <br /> � FI%ED �-� � .�U_ �c� <br /> /--7 CP DAT � �� <br /> (� DEP081Ts � /-_5. �-- <br /> `Y —_ ����y NoO. <br /> SERVICE �sr�ooeq��_...�_��� �-'"'-"`i-C�,�(. .>�� �7 <br /> ---_._.OLK.�_LOT-_�ADD <br /> OWNER ���� <br /> �� � CONTRqC70Ry��.=���7!( l.f�_�-i,.�C ��,� �t� <br /> INBTAL ���'"�_METERED BERVICE--__ s l r�� C, ��.z� _-J�.��.�.�/��; <br /> 1 HEREBY APPLY FOR THE USE OF Y/ATFR IN ACCORDANCE WITH THE <br /> ORUINANCES ANO POLICIES OF THE W.1TER �EPARTMENT NOW E%ISTING •� _1 <br /> OR AS S�ME MAY BE HEREAFiEF' CHAIVGED, � �� <br /> naNeo:X__Il,Tl��ic�� ::. .. ..t-�-- <br /> MATERIAIB }� IN. 1 IN. � Y IN. j� —_-'---'--_��__ <br /> pipE �p�ce AMOUNT <br /> _ OPPER�GALV.••STEEL _ �(a�� I .(p� 3 3 <br /> CORPORATION �' -----:�i�.CL. <br /> CUR9 COCK OT � -� -- ��� <br /> BERVICE BOX PLABTIC_C )___ I I - - {-__�_ <br /> ME7ER VAWE - '- -�— I <br /> -- -- - ------ --- ---- !- �33 r <br /> METER No.� j� � TYPE: —� — <br /> ---_��_.3.�zr:�1� - t���--_�_Ci J-- -- ---- -- 3� Z3 <br /> METER BOX CONCRETE _ _.1�16 LAROE � __ _ <br /> �, {y/ �� � _ i� <br /> /SS � ���C�--a-r. 4-.�.._i:_'5��.— � � _ <br /> � � ��� <br /> I <br /> — I _ � <br /> -- ---�__ -----�—I` — — <br /> DATE INBTALLED: I (��ON <br /> - ' � .- ^ � � OFF SUB TOT.1L <br /> eooe � �j� <br /> � Ll1lOR AN�EOIIIPMIN�RENTAL <br /> I�� . MOUR! pAT[ <br /> I ---___—__-__— � ' � � <br /> ------- -------------- - 3 ` <br /> �_�1 � ----- --------- I ' r-- � <br /> . _ -I �5 _ �l1: // Il = <br /> i�� -----._ _ - ---- � -- ---�' � <br /> � -- --- --- - . -__ <- � _ _ -- <br /> --- • - /! I <br /> �� <br /> �------ -- i � -, <br /> ---__ _ I <br /> __ . - --' - — �% <br /> � � � i � <br /> REMARKS: -- __ TOTAL I ��j �� <br /> _ --� __"_ _ <br /> r � J . _ _ . _. . ._ __ _.__. ... __ <br /> �� l ---- <br /> -- _- - <br /> _ . - _ _ <br /> �- <br /> l <br />