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APP�-•� G ( 3 7.. APPLIC•ATION FOR SERVICE SERVICE N° 9 5 O <br /> �No. � ORDb <br /> <•2�2 CITY EVERETT WATER DEPT. � / <br /> FIXED ' DAT _ ' �`t� <br /> � � � �' , i � .� t '.t (:" / �/16� <br /> � DEP081T f•:r ! !�.�� � W. O. <br /> "_.— No._. <br /> —'� ' / /��V%'"J�7 !i /"� _____ <br /> SERVICE 1sr�oD11cs�1— � � ����_ ( �' <br /> —__BLK.____LOT_.—_ ADD. <br /> NER <br /> —CONTRACTOR—___ <br /> - �__._--____—_----_— <br /> f��j t! �--1 Le�/ .c-�-,..Q�.�-.�.,.�.��.1 <br /> ��"t � M�ETERED 6ERVIC�!�L�'�����it[ i` ' ��liw/�. ' %�' � <br /> 1 HEREBY APPLY FOR THE USE OF WA7ER IN 'ACCORDANCE WITH THE -7 —� � <br /> ORDINANCES AND POLICIES OF TNE WA7ER DEPARTMENT NOW EXISTING f �� `✓�-� �� �, /�/ _ <br /> OR AS SAME MAY BE HEREAFTER CNANGED. aicNeo: X� +� <br /> MATEPIAL! w' IN. 1 IN, � 9 I� 'pplpE AMOUNT <br /> P�PE COPPER--GALV.-•ST[EL / � ,� �/G� <br /> CORPORATION </ �,•• r �_� _Ii�� <br /> CURB COCK aT f L�I \ I ; 5 <br /> C � , � �------��- - �� <br /> BERVICE BOX PLASTIC •- C I <br /> METER VALVE � <br /> METER Na _—__—__ TYPE —_—_.—_—I__,�1 —_ _ — __— —_ I_— '_._ <br /> METER BO% CONCRETE SMALL LARGE I <br /> �' ���vbf � -- i -- - --- �8 <br /> _ „ —�-� I ( — -� <br /> ,, -- _;.� — f--�j� <br /> b� � ,'(�, r s ��- — -��-1�`1� --f��7/_ �i <br /> G �� G. l , �� r O�h <br /> �,�� ��r1 � __�- , � 3 8 <br /> DATE IN9TALLED: �� <br /> � — � O —C� � OFF �'�I. � / � •: SUB T07AL ��D�� <br /> COD[ � L�OOR �HDEOUiPM[NTRENT�L — MOUR! qATE <br /> � LI I ' I �� , � - <br /> � ____—_ _._"__.____ _ —_.�__ �.� <br /> � ____—_ _ � . _ <br /> —_ �� _�eL'__'—____' "____-'_ ��_ _ �� I`' _ <br /> ���-- —�-�- �'I'_=1=t , <br />