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APP�' ����0 APPLICATION FOR SERVICE SERVIGEN° � �^, ]Z <br /> No. <br /> CITY OF EVERETT WATER DEPT, OHDER <br /> ��! ', 7c , , /.� . <br /> � FIXED DATE�_�'w._____—�p �_ <br /> n DEPOSIT s � �� /-� i-, <br /> _'_—'_ �-. / ^ W.O, � <br /> �� �9' --- <br /> � � , �, ---- <br /> � ]� : <br /> SERVICE 1 /�nog[es� ��-/ ,/r/ �-�� ' - � " �' <br /> j -- _�.�LK.—_LOT�_._AOD._n _(_� <br /> ��/-.//�� ./ -- <br /> OWNER _ __ .-- � �___'� � �__ _ __ 'CONTRAGTOR_1�J.�]_L��- � .._`'�L.1� � i��.L1ru <br /> IN9TAL�_FLAT <br /> 'M!'PL![Lff SER V I GE_....—__._._.-______.____.___ <br /> I HEHEBY APPLY FOR THE I15E OF WATER 'n' ACCORDANCC WITH THE �(� �--..��JJJ (�� <br /> ORDINANCES AND POLICIES OF THE WATER JEVANTMENT NOW EXIS7ING I V(a1p �� _ (1 __ <br /> OR AS SAME MAY BE PEREAFTER CHANGED. sicNco: X_N"��ti C�-C�� <br /> —_ L—__ <br /> MA�ENIAL! w IN, 1 IN. � Y IN. I PRICE AMOUhT <br /> PIPE ___�PPEIj-. GALV.•-STEEL �____ I�-- r _i�� <br /> CORPURATION � � I�I <br /> _ qUR@ C6CK _-4� I '—_ I'�_�' //�� <br /> C _I II�� <br /> �J <br /> SEHVICE BOX PLA9TIC •_C I _1 __ � <br /> _—_--_—_ ___.____ _ _J I � �� <br /> METER VALVE <br /> __— .. __—._—_ __ _ <br /> ' __'_ _'_— . _.....__ <br /> METE4 No. TVPE: a� <br /> METER BOX _ CONCRETE.___ SMALL LARGE _ I <br /> -- -- _---��-�- - �-- -- �� <br /> , <br /> �-- --_ _ ---- -�---i-I --� - i- <br /> _ ---_ --------��-;---�- �-- - <br /> �ON <br /> UATE IN9TALLED: OFF ���7 SLIB TOTAL !� 7 <br /> _ `/-.�/ - 7 ❑ � /� ' S' <br /> C006 I LABOR �NO EOUIPMENt RENT�L I <br /> IM7Uq� pATE ' <br /> � � ) <br /> I1-�-�---------------- �-- ----I-�- ---�� ' - <br /> �_ ______ I � I_ <br /> I <br /> ---���r'_L ------ ----- - � �- ---�L; � ° . <br /> �.p4.._.__�___ I ' ;_ <br /> _______ <br /> V <br /> -__.._-______-__._-__ �.__..___ <br /> - I _ __ _- <br /> I <br /> _- _ ____' ___.. J <br /> _._..-.. ___..__ _ __._ . <br /> — —I�`--��� — -- —- _ -- --- --I--� ' I__��`. <br /> / / __ I TOTAL � ,/J ,y <br /> REMARKB: <br /> __ - -.__ __ _-__ ... _ . __ . . . . �/ � <br /> �/ ���, .. _ _ . . . .__ _ _ _._'_ ./ _i __ <br />