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APPL,:�� APPLICATION FOR SERVICE 9ERVICE N° 5 3 6 <br /> ���' ORD <br /> 9 �p/e� CI�'Y OF EVERETT WATER DEPT. ��r(� /� <br /> � FIX-Q DAT �=L�11�= <br /> � DEPOBIT � Ip`,j�,eU W. O. <br /> No.— <br /> (/{? � -w-c�-`✓ <br /> BERVICE (sV ADOIIF�/)���� __ ��C-�'�".��BLK. LOL AD�___ <br /> OWN[ __CONTRACTO � "'���� O G_ <br /> FLAT __---__.-- �/ a�/'� —V� <br /> INSTAL METERED SERVICR' _____. R� �-+�- ��_ <br /> I HENEBY APPLY FOR THE USE OF WATER IN ACCORD�MCE WITH TNE � � � <br /> ORDINANCES AND POLICIES OF THE W�TER �EPARTMENT NOW EXISTING <br /> OR AS S�ME MAY BE HEPE�FTER CHANGED. naN[o; X_ <T"�-- <br /> M�TERUL/ 1GIN. IIN. p I �RICC AMOUNT <br /> PIPE cOPPE�•-GALV.-- STEEL �__ � 6 �% <br /> CORPORATION ___ � _I � C_C) <br /> L <br /> CURB f.OGK OT __ _ I — <br /> BERVICE 60% PLABTIC •- L 1 _ _ I I <br /> METER VALVE <br /> ME7ER No.��9��1��1_� TYPE: Gti„-.,a/�___!C�, —_ __ _—_�_ _—_ — ✓✓� �J <br /> METER BOX CONCRETE BMALL�LARGE � � <br /> . L.kc -7�� �D`i � /a -- -I -- (c,L7D <br /> — --- — I � <br /> � <br /> — --- ---- --� I -- <br /> � ON <br /> DATE IN9TALLED: � _ � ��OFF � �� SUB TOTAL y/� ,�J <br /> ! <br /> f.ODE ' LASOp AND EOUI►M[NT RENTi,I NOUNY q�T[ <br /> ��-�-�fs -- -- --' 3 gqk.,,, 7 P �-- <br /> � ----- �-- � <br /> �-�h��F - --------- �-?- 7'4F'l,� (,�')�, <br /> -- — -- ------ - � li I <br /> I �; , . - <br /> -- --- --- - - -------------- <br /> �-' �� -- ------ <br /> TOTAL I f <br /> If-�--1- ' 1 S . <br /> _-------- <br /> L---- -------- <br /> ---_._. --- ----�-��r— <br /> REMARK3: � .. ! ^�:_ L.I r Pr '� � . . . . � � — <br /> �� �J <br /> ' — _ —_____ � <br /> ._ —__ ._. _ __. .. ..'_ <br /> — . . . _ ___.._._'__ ._ _. _.._ . ._.._'__ <br /> ' —�—. <br /> %4 _ 7�. . _ , <br />