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NOP� ' , �O `�' D� APPLICATION FOR SERVICE SERV10E�y° � � $ $ <br /> oRoe <br /> .,2� �,7 � CITY OF EVERETT WATER D@PT. „ � <br /> � FIXED DA� � 7L� �� _�p/� <br /> � DEPOSIT � j� .�'� l` <br /> —/ �. <br /> SERVlCE fBYADOR(Bel " �I _ _ �l�+-'�. _� .. � � <br /> / � T— BLK. LOT aDb. <br /> owAE�R i�'��. ,��t�'.� I-�Loi.�. - �-4...,�.L l� /-fC%Z,-c.n -- <br /> �„�� .`_ —CONTRACTOR <br /> � TIe�1T .. ./.i.. _- _ <br /> INSTALL_:__METEREU SERVICF <br /> 1 HEREBY APPLY FOR THE USE OF WAiER IN ACCORDANCF WITH THE �� / ' <br /> ORDINANCFS AND POLIQES OF THE WATER DEPAqTMENi NOW E%ISTING :�!i".���, � 9'+�4�{4�...� �'t ,�. <br /> OF AS SAME MAY BE HERUFTER CHANGED. 6ierveD': X � � ' �r <br /> �2%r�t�>r� �G =.�`Z'!� --ft`-, <br /> MqTERiAL6 Yi IN. 1 IN. 2 IN. � �-��- ppICE I qMOUNT <br /> PIPE _ COPPER..GALV.-STEEL ____ —�__ __--I � <br /> CORPORATION i P I <br /> CURB COCK OT <br /> SERVICE 90X PLASTIC - C t I — I�I— <br /> METER VALVE —� <br /> METER No.Jr�9i��.5�7".�J7,�J�TTYPE: /�C���^—.I � - .._ � � �8 � <br /> ME7ER BOX CONCRETE SMALL LARGE 1 � � <br /> irU-' Xfx.4<'��,'.r.. �cw'r^h,�i� ) %G — - ---j - <br /> �� C/� ^ • � .'� ��� I � � <br /> �/�i(;l �J S il -: I_ -- �� �%�_ �_ <br /> � �'�'� . �'� ` 1 /' I— �— � ���,� . <br /> ----- --—– ——I— � <br /> --------- — � � I <br /> I` � <br /> ON <br /> DP.TE INSTALLED: �"��J� � QF� SUB TOTAL �p�� s'!�� <br /> COOE I LIIBOR AND EQIJIPMENT REM(AL � NOURfi pATE <br /> I �-� ; I �%� <br /> I S � ---. __—I..— __— __ . <br /> I ----�..��_./�1�1_._�_- __.7. ___ —_,r '�'�I_— <br /> I I � <br /> _ � �- --;i � <br /> j - _ - � --;�-� <br /> � - �- --i�-- <br /> /• � _ TO7AL I /��� /�� <br /> REMARKS: <br /> JJ ���".� _ ___ __ <br /> -_' <br />