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APeI?433i APPLICATION FOR SERVICE SERVICE �� 1 317 <br /> N�� CITI OF EVERETT WATER DEPT. oRoea <br /> �_� FIXED /'.. �<<..� -.� < . �ATE_„�'�.1��.-_.s .'J__iB�`� <br /> � <br /> n DEP0817 s�:.n_ r. �w ! W O• .__._..._'__._.__._ <br /> No_'_ _ <br /> � r �r L/ <br /> 3ERVICE (eY�o�rtEt�)-_-�'� U�(i___L�}�_�L�.'="�_.._OLK..-___LOT' ____ADD..._ <br /> OWNER-__---_. --'-----'-- -'CONTRACTOR--'__'_-_-..-. -_. . <br /> 3/� FLAT <br /> INSTALL/y-MFT'EAE�6ERVrC�_.�:�L.�i•--I• ��-'��_s1-I ��-._ '__---_—__ <br /> / <br /> 1 HEREBY �PPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANLES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE NEREAFTER CHANGED. e1r.N[u: X___--_._-.-__- -__,__- <br /> M�T[RIAIe 4' IN� I IN.i 2 IN. PPICE AMOUNT <br /> PIPE I COPPER.- GALV.--6TEEL ��_ ��__�Ip� <br /> GORPORATION —���—' — —�—'— —I �, I <br /> �CURB COCK� OT ___.__-.__-_ _----I I I __ �- �-^' <br /> �_-___ — - - '/ <br /> �7 <br /> SERVICE BO% (PLASTIG •- C I �� I I� K"�i <br /> --�-__•_--_--__ _ _ - '_f_ - <br /> METER VALVE <br /> __ __ . ._____. _. . - ___.... <br /> —_--'____ _'_-__-' _____"'-'_ <br /> METER No. TYPE: _ __-___._I_a� _ __- _- —_ -_ ____._� _ � _'. <br /> METER BOX CONCRETE SMALL LARGE �r I <br /> C,(_� - _=i _-_ _.- �i�� <br /> �, - � -- i - � <br /> --- -...-!1_� � --� I—� �� <br /> ----------- ----... ..— --I-�— -- - --- <br /> -- ------- —��—�--I — ---- -- <br /> � ON <br /> OATE INSTALLEO: � � , � �. � OFF � � �� SUB TOTAL �� ,S�'G. <br /> COD[ � LABU� wNO EOUIPMENf RENTAL � MOUR! ,R/�TE <br /> I � � ' . _-.- _.�-_� _ V. 1_ / _/ l� �l' <br /> . . . . _ ___- ..__ _.. __ _ "_ _-""._'_-__-_-__ " .__ <br /> I I <br /> I � --��- --- --- –I�— –d r.(I' 1 v I lT <br /> ----=��� -- - - - � - � - <br /> ------ - <br /> -_ - ---- - - <br /> --- -�--- ---, <br /> ' - ----- -- -- ------ '--!- _ <br /> ---- - -- <br /> ; ; <br /> - -- - - - - --�- - <br /> � ;__ _ __ _ _ <br /> __ _ --- -- _ , <br /> TOTAL J 7� <br /> GEMARKS: ' <br />