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NO���� � CITY OF EVERETT SERVICE <br /> APPUCATION FOR INATER SERVICE oROER NO. <br /> � FIXED �i <br /> � 7EP081T � Q�,O _ D�7E� 3v IB/.� <br /> u <br /> w. <br /> No._.._ ' '. <br /> _ _._' . . ._.'_ _ <br /> SERVICE �er�eo e � 6 . �j.� ^ <br /> OWNER_��� _�! ������ CONTRACTOR –_ .lOL ._– _ADD. ._._ <br /> // �IN�AT/G^u� . . --_____–_ .– _ <br /> 1 N STA LL__p�. -----�-- <br /> --- ETERED SERVIC _. <br /> 1 HEREBY �pp�Y FOR THE USE OF WATER IN ACCpRDANLE WITH THE q <br /> Op01NANCES AND POIICIES OF TNE WATER �EP�RTMENT NOW EXISTING / � / � <br /> Op AS SAME MAY BE MERE�FTER CNANGED. � Y�� 1��' �/. <br /> ncneo: % i% l �/�l7�r91[i <br /> M�TERI�Lt Y IN.� 1 IN. i Z Ik. � . .. � <br /> PIPE - �/ PA��E AMOUNT <br /> — COPPER -- GALV.--5'fEEL j '� <br /> _'_'___.._ I <br /> . _'_–._.—'_ ' ' <br /> CORPORATION -� ---- ... - ��...–_ . . <br /> _ '_ <br /> � �_'_ ' - —I'—__i . . . ._ . .- - '__ _. <br /> __ <br /> __ _ <br /> CURB COCK OT � �� -- <br /> --' _'_'_ _____ <br /> '__--_ _ <br /> SERVICE BOX PLASTIC C I � � I - <br /> "' – _ <br /> ME7ER VALVE �--- .- <br /> . _--._ . . ._ . ___.. <br /> METER No. TYPE: I -- _. <br /> - –. _. . . _ . i , _—_— _ ___ <br /> METER BOX CONCRETF SMALL LARGE � I - <br /> __— <br /> _ . � I ___–i ._ __ <br /> ' I _ <br /> � L . ' �<� �,��, _ <br /> — �__vr/)�� 7 o r,��j /t e ' i P �' r/'�,, k.- -- — <br /> � . _� � � �� _ — <br /> i,z1" e _ <br /> ,�� yo��� � _ _-- <br /> -- --- -- — o aian�- �- S� , <br /> j _ � - —'-- - ---— <br /> DATEINSTALLED: I �"] ON I I <br /> I�� OFF SUB TOTAL <br /> COOE I L�BOR �—� <br /> ANO EOl11PMEN! qENTAL "��' <br /> � HOOpn R�TE <br /> —_—.'—.._ '__ .–__. I <br /> _______� i'. _ ._ <br /> ___--� —_� . _.._ .'__... _ <br /> � _...._ _ __.__ <br /> -� ��Cj3 4 � -_;_ --- - - <br /> -------__ _ _ , -- <br /> - -�- - - - -- _ -,- - _ - <br /> _ _- - �_ <br /> - � _ -- <br /> REMARK3: TOiAL <br />