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� <br /> i <br /> � "�=-' _ .� . , <br /> APPL.���y/� CITY OF EVERETT � � �.� ��`+�H���cE nf° B O 3 E <br /> /}.��//Q(j�0 R DE R <br /> N�' ���1 APPUCATION FOR WATER SERVICE I��SG ���,/'Q— <br /> �/��/! �'" DATE G <br /> �XED /�� ��� POST{„a_ !. - / �..LS W, O. <br /> � DErOSiT s(fiCJD -' � --'— <br /> SERVICE l�v woD�G�) ��`-' �C�L.'-'e�K._ LOT ADD. — <br /> � �i//LJ»'ji'��J CONTRACTOR . -- --- <br /> OWNER <br /> � FLAT . __ _._ <br /> iNSTAL R ERVICE------� -- <br /> I HEREBY APPLY FOR �WATER IN ACCONDANCE WITN TNE <br /> ORDINANCES AND YOLICIES OF TME W�TEP DEPARTMENT NOW E%ISTING ewr+eo: % .-__- --.�---------- - ------ <br /> ON AS SAME M�Y BE MENEAFTER CN�NGED. " <br /> MATERIALS �/ IN. 1 IN. 'I 21N. i, I PRICE wMOUNT <br /> P�pE COPPER .-GALV.--STEEL _ _��� �_�__ � <br /> CORPORATION -- 'I�' �, �I I <br /> CURB COGK �T __ �� � - �-' <br /> SERVICE BOX PLASTIC - C 1 I <br /> - �__ - _-__ _. <br /> METER VALVE -- ----� --- ---' -"--- --- <br /> /� r"_._- � ..I _- ' - <br /> --___ .'_-_—y I <br /> . � 1 f�o� TVPE:/�',p/'�/Vc I - I <br /> METER No. .7 D � _-'_f�....� __ _ �. .I-- , ._ _-- ____. — <br /> _-_ <br /> METER BOX CONCRETE SMALL LARGE I � _ __I_I _ _ _ -- <br /> -.— <br /> - I <br /> -___I_"— -__ _ <br /> --- -- I---�—II i <br /> — _ —,—— --�, — <br /> -- --i—'� '--�— — — <br /> _ _ _------ --i�--�-- --- -- <br /> - --- �I I�� <br /> �,D��(� A// I ��N SUB TOTAL <br /> DATE INSTALLED. �'i/� OFF <br /> L BOP A D EO PMENf RENTAL MOtJR4 AATE <br /> CODE � I <br /> ����llo� _—— —� <br /> � � � -- — <br /> —, _.. - - �--- -- <br /> ------ —----- --- NO ACTION I <br /> ---- - - <br /> ---- --�------ <br /> —� � _ . wiu he .taken on serv ce _ <br /> — -- -- <br /> — — app�icatlons withoui _ <br /> —I - --- —- Rack ow recer�ths�rt�._ I . <br /> � h—t-- <br /> �— TOTAL � I <br /> ItEMARK3: ��LWV( �-�J—L-�—_—__— _- ' _" -_ —_—_—` <br />