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APFL. , S9 '� APPLICATION FOR SERVICE SERVI (v° � 6O` <br /> No. ORDE <br /> I�,/ CITY OF EVERETT WATER DEPT. ��,, � �r�/' <br /> Y�7I DATE �"'�'L—/__1 � <br /> L� FIXED <br /> / <br /> i!r DEPOSIT iJ�^.��0O • , No.___ _____. <br /> J� <br /> C �./�i7 � <br /> 9ERVICE �er�oon[et�--�CD�-����3"=�4�������LK.__ LOT ��ADD..___- — <br /> OWNER_ _—_. ._---------CONTRACT��- """v--- <br /> _ �.�_—_ <br /> IN8TAL � �r ME�TERED BERVICE—_____.._-___..__--- —�/'� �,,���y) � ` � <br /> I HEREBY �PPLY FOfi T'It USE OF WATER IN ACCONDANCE WITH THE L V 0 �/ <br /> ORDIN�NCES AND POLIr.IES OF THE WATER UEPAR7MEN7 NOW EXISTING f , / ���� <br /> OR AS l:AME MAY BE HEREAFTE�i [H�NGE�. •ior+eo:XS1 L�!_�.—� .__ _-------_.._ <br /> M�tCRI�Ls �G IN. I IN. I t IN. j PRIC[ AMOIINT <br /> PIPE __ _ .COPPER�-GALV._STEEL _ _� _I_ _ _� _S�_, �S <br /> CORPORATION 1 _I_ JI 33�IlL1J <br /> CUREI COCK _ OT __..- -.--�__—_-- —I- " _—J�- <br /> SERVICE BO% PLA971C •- C I _I _ ___ ___ I� <br /> METER VAWE_ —___—__-___.-_- __..__I.�.1._ ' —_ —_ _.- ____-_II--2`��lY��l-. <br /> METER No. c.��'"1 .•r TVAE:� '" _._.�_ __ __ ✓J I(✓ <br /> 1c. .1��'al.• _...��;����_— I i�IV/�• <br /> MfTER �OX !CONCRETE ___�ALL� LARGE _ _ _ Ir _ <br /> _—___ . � f I I �'/1 /. <br /> r i -i o ` .��r. ' � ' <br /> _ __ I _ _- �_ I " <br /> I I <br /> __ I �' <br /> _ -- _- '—" _ __ I I I -- �_ <br /> � ON <br /> DATE IN9TALLED: /. = �� �-OFF BUB TOTAL 5�. �/1 <br /> K -r <br /> COOt � LMOR �HDlOUIPMENTBENT�L NfUR9 q�T6 <br /> . / <br /> �� l , � � ------------ ---- ---�_ �--- � <br /> �'--�-- <br /> � I �: I <br /> '_',�,.1+=% —.._ ----I-_} 1�c_��_ G��c� �. <br /> ' � — � ��—I -- <br /> � ---- - — <br /> --- <br /> — --- - I <br /> ' --------- �'--�-- <br /> - ---------- - ----- - <br /> —. ,------ , � � , . � i �� , ;,, , <br /> , -�--- - — -- - — -- <br /> � - - --= -- ____ - I <br /> __ - - - - — -- _ <br /> . , � .a_ _ -- - <br /> I' TOTAL JI�_ <br /> REMARK4: � ' <br /> , ' <br /> —'_—...__._._rL__iL1ilJ-_. �__�_ .._ _ _ ..... ___ . . . _ ._. .._ _ _ _ . .. . . __ .. <br /> l <br />