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APPL. 2 D //_ � APPLICATION FOR SERVICE sEfiVICE �° II 5 7 <br /> No. l� ORDER <br /> , �� ,,: ; CITY OF EVERETT WATER DEPT. "� � <br /> ❑ <br /> FIXED DATE__�- _ ____. � __18_.�._ <br /> � DEPOSIT s . � ' ' N O._ <br /> _ "3iY , - --- ------ <br /> , .,�-� , : . / <br /> 9ERVICE (YY ADonE88L .. : ___ - __ ..� . _. _ �LK. � LOT. __ _ADD.�- <br /> `� ' � !i !1/ • . , i/�i . , . . ,�I�i � 4��� •:.PlJf/i�n <br /> , ' .�. � � . .. , . <br /> OWNER_ __ . . ._ __ _-y___. .__- __ __' .. _ _CONTRACTOR." /-_. , . <br /> . f�.� / . .u� ,'n. l .Y. !�. .ii:.� <br /> INSTAL�� METERED SERVICE__ ' -.��' ' � ��� � <br /> _. .. _ _'_ _ "'_ - - . -___---___ . _'_.-____ _-'__._"-_ <br /> I HEPEBY APPLY FOR THE USE OF WATER IN AC[ORDANCE WITH THE - <br /> OflDINANCES AND POLICIES OF TNE WATER DEPARTMENT NOW E%ISTING „ � ' -� - � <br /> OR AS SAME M�Y BE HEREAFiER CHANGEU. emHtm X�L• � _�...� : �'� � ." � � _ _'_. . ..� '��`���.. <br /> M,ATEILIhL9 7i IN.I 1 IN. , 2 IN. � � PqICE � f.MUUNT <br /> PIPE COPPER--GALV.-- 6TFFL � �� I �� I <br /> .-. ____.._'-'_--_—'_ __ _. __ _'__ __.. _. ..__. .__�. _- '-_' . . _—___ .-"___. <br /> CORPORATION I �_ _ I' I <br /> __-.'_-'_— ____-________ -_ I__._' _._____ _ <br /> CURB COCK oT I I II I <br /> -__ _-__.'___-__ _ '_-._'-' _ <br /> SERVICE BOX PLAS7IC •• C I // n�, - �- - -I— —_ I <br /> METER VALVE �I� — <br /> / .__�"1 . -_. __" .. .._ . __—' � -� _ '_ <br /> METER No. �7�SI� �%.�J}L'1��j�VPE_�O__`�. I ' -- --- I'� _.--f- J/ i ` �1- <br /> ME7ER BOX CONCRETE BMALL LARGE � � <br /> __— ._—___.--- -____ _ _ � . . .- �I - _ <br /> __ '---___--_ = I =_I__ -_ - __ " _-_' <br /> ___ __ - _ _ ��__.. <br /> --�— — �-- ----�--�— <br /> I <br /> ------- - ___ _ _--- -----i- i- - ___ --_ �'_ .. ! _- <br /> I ❑ �" � <br /> DATE INS'MLLED: � ' .�. �' H� � ppp SUB TOTAL .�' �"�1 <br /> COOE I LABOR ANO EOUIPMENfRENTAL MOURB PATE <br /> I .� _-� I___ _.. <br /> _ --__ .-_- __..- ._ . ___ . <br /> � __`ic'c _�!'J'� '� / 99 7 � _- ---- __ �- - --'�--�- <br /> --I 'or _/o ,• ... >, :�p --- --------- ------I- - . ._�' ' <br /> __L__`'- _... _._ �_ .. . . <br /> I I II _. .__ <br /> - —� ------� - - � - � - - - -----�------- --- . <br /> �- ---, - � --� -� <br /> I <br /> _— �---------- ----... ._ . . . _.---- -. _. .. _ . ._— . , <br /> I � --i i_. _. <br /> ---- -- —.-.._.. .------ - . . . . _ . .-- - ----. . . . _- ---- .. <br /> l'�/� � TOTAL /. 1����. <br /> . REMARHS: ----- _ _ _ . _. . .. \ <br /> \ <br /> � <br />