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� <br /> �oP^�^"����� CITY OF EVERETT oR�E�ce . I <br /> APPLICATION FOR WATER SEflVICE <br /> U FIXED 'f)"J).dJ� DA _�_19� <br /> i—� DEPOSITy�y�— W� �• <br /> No.___ __ <br /> SEqVICE �ev�onceal� �/ -_`-� —ICX�'�' BLK..�LOT���A����� <br /> j�/� � . <br /> OWN d � _ /w�'� _CONTRACTOR_ <br /> INSTALf,._ _METEREOSERVIC _—_ . ___. _____ __ _ <br /> .—�— <br /> I HEREBY APPLY iOR TME USE OF WATER IN ACCOVDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER UEPANTMEI.'T NOW E%ISiING <br /> OR AS SAME MAY 9E HEHEAFTER CMANGEb. eierreo: X /_._ ._..--et��-. . - — <br /> MI.TEfl1AL9 K IN. 1 IN. � 2 IN. I ' PRILE AMOUNT <br /> PIPE - ' COPPER••GALV.—STEEL ' I <br /> . —�.�__jI__— ._—!— <br /> - CORPORASION II f: ' — I I � � <br /> CURB COGK OT I <br /> SERVICE BOX PLIISTIC -- C � I � <br /> METER VALVE i�. i � '� e•�y- _ _ <br /> METER No_�_� b� _' _._�"LYPEii_—�._I �S 1 _ ___ <br /> METER BOX CONCREfE' . '% SMALL LARGE � <br /> __.a�_�__. ____. — �I _ -- <br /> �� • � � � <br /> — -- __—__ .. _ . 1 .i <br /> •— � . _ . ` � .� •t, 1'�f�e � _ — <br /> -- _� .� : -'�` �, -- _ <br /> -�.�-�,�,.�:.�.� '�....r�_� -�-` ` -`- ---� ;- - <br /> , �, � -�- <br /> - k..� , � " '���'�;� -�- - ---- - <br /> . � r . _ `� —� I , <br /> i. � , .. ��r s .I.Y ... � L�` . � I <br /> DATEINSTALLED: � ! � , l �-�' I � OFF SUB TOTAL <br /> ! <br /> COOE I � L�BOR ANp EOUIPM[Hf NENT�L NOURB F11TE <br /> I t � � <br /> _— _ ._"—" ' _ _--_— — I—`- <br /> -� -_--- -�� N -I� --- -- <br /> I /� � (i�_ ,.�. a <br /> --- -�(� � - -- - -�- — — <br /> . <br /> I ' , .� I <br /> - -� - - - --- - <br /> --I ---------- - -------1-- <br /> TOTAL <br /> � — <br /> REMARK9: <br />