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. <br /> �+PP�•���� APPLICATION FOR SERVICE s[rxv e N V 3 $ ] <br /> ' N�'• ' ORD R � <br /> /9�6� CITY OF EVERETT WATER DEPT. 7 / <br /> la FIXED DAT _ �� _..19��� . <br /> 1oi <br /> � DEPOSIT 5 `�L�(J. �� � N . . <br /> /� �/� � �_ — _ <br /> / / / ,v .I �.�- <br /> SERVICE cerpo[aEa4��✓i�l�"���C.�C/ CBLK LOT� �p D�._ /1 . <br /> 7 `� <.tiM��/a/� ,`y.,I /[7�� �j� —�;L�-�j/ <br /> OWNER _ `��� G _CON'YRACT�'� � � ' i% 0��� �"�" <br /> �� d�lsfi <br /> � INSTAL� � __METERED SERVICE_ � <br /> I HEREBY APPLY FO�! THE USE OF WATER IN ACCORDANCE WITH THE /� �p ���111 � <br /> ORDINANCES AND POLICIES OF THE WATEC �uCPARTMENT NOW E%ISTING �j/�/ - 1/� ��Q- <br /> OR AS SAME MAY dE HEREAFTER CHANG'_D. sl�rveo: X_ 1L _�� �J <br /> FIATEFIAL9 �i IN. f IN. � 2 IN. � I PRICE AMOUNT <br /> PIPE COPPER_•�GAL�--ETEEL �SJ� I 'l.� �51%5 <br /> -� I <br /> � COCPORATION i <br /> CURB COCK OT I I <br /> SE'.RVICE BOX PLASTIC -- C I. I �� I <br /> METER VALVE <br /> METER No.l��'��_/�L I.�S�O TYPE:yy(:XC. I i1�� — �.--- '� `-O <br /> METER BOX CONCRETE SMALL LAftGE I <br /> -��[l1r'.'C1IIILI�/IiF✓ c .�.�4�� � 2 --- -- /8.� I I'� <br /> ���F-- l.'xRX7 SC'??�.�'irt��LCt-� —/ I <br /> .�r��r�`� ' ;�,;,:•`'�,�:��r:J.�-� I � 7�592_. <br /> . 71rlf:v -4 � . O� I / <br /> a° Q��SI� - .� I — i.o;� <br /> ,����5 • r;.: - z. r <br /> Zxcs nu•71� riCr -2 •� 5 9 <br /> J� �� , ,�r. -/ , I _ - -_ <br /> � r�a?.: c� G�r�- ,fJ7_i7�`�:2_).L'�a,e � �ec�riL��l�l � <br /> � � ON ) <br /> DATE INSTALLED: � r-�� / � I dOFF �Q ���� v(� (Kr�y ScL_'_ SUB TOTAL �L�3O� <br /> 4 <br /> CODE I LABOR AND EOUIPIdENT R[NTHL � MOURS RATE <br /> I 1'-G /� �lJr.�-i^� � I � l ' ��I�bI�C� I�ln � l ! /-{I`` a " <br /> I I � :�� I�o <br /> � �� . 4-C I II � <br /> . , �4...,.:--���1� , . 1r �2c.�- <br /> L I �i� � <br /> , <br /> I � ,� � — <br /> i I �� �— <br /> _ � � ��/ <br /> TOTAL J��I�,TJ�/' <br /> REMARKS: <br /> l�' ��� -_-___-__-___ -.'-_-__- -�-- <br />