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�'�•�i,�y,/T/� APPLICATION FOR SERVICE SERVICE N° 3 O 'I <br /> No. / J!'�S J CITY OF EVERETT WATER DEP'T. ORDER <br /> � FIXED DATE_l_V _____Ip_ <br /> �DEP081T ��S�'_ yy,p. <br /> No.____ <br /> HF,RVI'.E (�Y A��)p en �_SClD D _�______BLY..___LOT�l__AD�,�fi1,7�[[�5., <br /> OWfrEll_„�����14��C��__.____CONTRACTOR—__._ ___ <br /> fi�'�� <br /> INBTAV�.�,LSE_METERED BERVICE--__.____ ____ __ _ _ __ <br /> I HEREP.�i APPLY FOR THE USE OF W�TER IH ACCORDANCE WITH THE <br /> ONDINANLES AND POLICIES OF THE WATER DEPIIRIMENT NOW El(ISTING �, ���� <br /> OR AS SAAE MAY BE HEREAFTER CHANGED. naneo: X• .�: <br /> MMlRl�l.q I y IN. 1 IN. I =IN. I PRIC[ (� �MOUN <br /> 11 2 <br /> _P��'� _.��"(:OPPER�GALV.••9TEEL _L_ _ , J�( ,JI <br /> CORPORATION � <br /> CURB COCK Oi � <br /> BERVICE BOX _PLABTIC - C i � <br /> METEN VALVE ________ ___ � ��� �� <br /> METER No.��.;�`..' •i0_:�TYPF: ���7�_�_ — _— L,�J �3 <br /> METER BOX � CONCRFTE� �BMAL� Le �GE � � �/8 <br /> _ ... � / .�-.r ___ _ _' I�� <br /> —_____ J�i.�r:G � t'G. � 'yi____r I r <br /> - __— - I � I <br /> — � <br /> —'—__—__ �_ -- <br /> � � I <br /> ON <br /> DATE INeTALLED: _ �.OFF / ' �. SU6 TOTAL Jl,�� <br /> cooe LAlOR I1NO lOUIPMENi P[NTAL MOI/R• RATC <br /> . . pI.r ,i..� — -- _ _ .._._--------- `/ ,� , �^� � l ' I � Y <br /> I . __- ___..._—_--__I.__' __ <br /> — I..�, !�!J' — "- __ I U'_ �3��G� �'ll � '� IQ� _ <br /> '__I _'__'—_--—_ -- — � _�I � <br /> ' � `__._________ --_��_��-1--__ _ ' � � 3 .1 i' I� Cl� <br /> I - ---------- ---' <br /> , ------ � �, - <br /> __.. _ TO7AL �� '�� <br /> REMARKS: . � <br /> _n ...�:.. --.t, r c, ivaL-.._'�,:._'�. _ . .__- - � ---- ._-------1�- L- <br /> i . <br /> ._—_ _—...____'___- r> . <br />