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i <br /> � <br /> APPL,/ 93(/ APPLICATION FOR ,e•�tVICE SERVICE N°� � Z � <br /> No. ORDE / <br /> �3p CJ�f OF EVERETT W/lrTER DEPT. /� <br /> DAT - -_- 1D'� <br /> O FIXEO �� �� _ ��/�j'l_Q,L�i~7h�--i��_ -� � � <br /> DEPO3IT s _ � - W o I <br /> ❑ _ ,� No.--- ---- I <br /> ���z o �`�-� <br /> SERVICEIevAOORecf1--_-------------------BLK._-_LOT._ ADD.- i <br /> �WNER _-,/_. __. -__.__- _- ____CONTRACTOR--_.-.---_-- -_--- , <br /> ���`/`Y�',dtlAtTLRiD SERVICE-� -�j��Q L4.�f_---___-__-.--___.__--__'_--- I <br /> 1 HEREBY �PPLY FOR TIIE USE OF WtiTER IN ACCORDANCE WITH�HE �� ��� e <br /> ORDIN�NCES ANO POLICES OF THE WATER DEP�RTMENT NOW E%15T1NG •[�.e . <br /> OH AS SAME MAY BE NEHEAfTER CH�NGE�. eroNEo: ---- ------- <br /> M�iEF1Al8 IG IN. 1 IN. 3 I I FRICF AMOUNT <br /> '_ y ' � �"q 7 <br /> PIPE ___ COPPER - GALV.-.STEEL ___ '_ �_ __`_____ J/ .I <br /> CORPORATION I -� <br />� ',CURB COCK� "�OJ�_ __ � I_ _I __ I __ <br /> SERVICE BO% _�LA TIC : G I __ _ � (_ _ I `. <br /> METER VALVE �- ---- <br /> ._..__._._.__-_-___.___ '- ._ _ _ _-_- __-- - -. <br /> - '_._'__ _- <br /> METER No. TYPE: I '� _ - <br /> METER BO% CONCRETE SMALL� LARGE _ i I <br /> --_ — y J- --I_ __ _ --,L—�.�,3 <br /> - - ��--� -- .� i , <br /> - _ _ --� -_;_ ----� �; �_- <br /> ^ -- �- i <br /> _i <br /> ---- ----- --� ---- � -- -- <br /> - ry.oN <br /> � SUB l'OTAL 3��/ <br /> DATE INSTALLED:�,_, /' _ � 7 � OFF �'�� ��� i�� <br /> C006 � L�BOR ANO EOUIPMENTRIiNTAL NOURB �IATE <br /> i , , � <br /> -- �= -i l <br /> I ----------- � — <br /> .._.�J�.-__" — __'__ . ._ —__--____-_ .__. I ,li <br /> I __'— _'_ <br /> �_ . �� J`� _r�i /�, �r I <br /> I�� �/ —I .. - I�--I--- <br /> --i t .�71;r �� �� ---------� �-I-L--_ .�I - I .�,-- <br /> ---G-�------- ---------- � i�_ <br /> I __-- -��--- — <br /> - - -- - _ - � �� <br /> —�---- <br /> -- __ - _ _ - <br /> -- I TOTAL I �/•; �� <br /> REMARK3: . . _ -. - - �/�F-t <br /> ..._. __ . .._ .. _ ___ _ '___- . .. . .__ _ _ .-_.. . <br /> '--_.___ '_._ _ � � � <br />