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N��L' � �/ � � � APPLICATION FOR SERVICE SERVICE �� 5 H $ <br /> "/���=�2/ /� CtTY yOF EV- ERETT WATER D/EPT/.! oROE <br /> � FIXED s / '���!/ J��'C.:Ll. .^`�. DA�j/ /Z iBL1[, <br /> � DEPOSIT -` .-----�--.-�. �� i./�� <br /> No.—/.•��.�� r. <br /> i �y / �/ <br /> SERVICE (6 �DDREe6)�C�� � t�' /�%U✓ ./��A <br /> �� � n / ��� �- �BLK. LOT ADD. <br /> OWNER d LrL/l.L <br /> — CONTFAC70R <br /> �� is27[7' <br /> INSTAL METERED SCRVICE_ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOROANCE 'h'I7H THE \-!/11' �-`�-�-Cr�y/�^ -- <br /> OROINANCES AND POLICIES OF THE 1VATER DEPARTMENT NOW E%ISiING <br /> OR AS SAME MAY BE HEREAF7ER CHRNGED. sicNeo: X__��_ <br /> 6�AT[RIALv �i IH. 1 IN. 2 IN. ' -_ <br /> I I PHICE .4MOUNT <br /> �'�P� COPPER-- GALV.-•STEEL�—' <br /> CORPORATION - �� � � ' <br /> CUR6 COCK 07 __ —I � �I <br /> SERVICE 90X PLASTIG - C I _ -_I � � <br /> METER VALVE — � <br /> METER No.'y' ,��" .`i!/` TYPE: ��C I q$ _ �'1j� I GDL��� <br /> '%:...: '� .L �' —_ __— <br /> METER BOX CONCRE7E SMALL LARGE � I��- <br /> ��' �tii� �.1...��—��+"�'r"';^"Ti�.' I _I� I I - <br /> --��// /1 'r--- _ <br /> --� = �`•.4-l.L� -:.z�e� .:t. _� �I— <br /> �-��-- f-- ��-r/'�.�� ' - j , <br /> , <br /> _ i = �� <br /> '5.:�:e:? chsr.;�j t:n cidjnab �te;r to �.?o � —� �— <br /> � � I 2� "0 <br /> I � ON <br /> DATE INSTALLED: � OFF SUo TOTAL <br /> COOE I LABOR ANO EOUIPIJENT RENTAL MOURS RATE <br /> I <br /> - i - - -_ i �L�- <br /> ' _ � ii <br /> - ; --- - - � _ � i <br /> j �--- �!---�- <br /> -- I I <br /> RE�IARKS: 9 '7 TOTAL I <br /> -- _ � �"Ltr��,-S� �r�•r_�r/�:��-t..-�i-�=�-v✓ ���u <br /> --�_ _ ,. . .....__»_ <br />