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.,. . ,.. .. . A�PL � _ ,....... . ... BERVICE . . � ... _. .., -�. ;.:i. <br />` No. a�oZ�p' � CITY OF EVERETT onoee '_ <br />°'"" '" ' ` "' APPLICATION FOR WATER SERVICE .: �-_ � '(>03�;; <br />� FIXED , . - ,. .� ..�. �:. . <br />o�r .•, ._.� =�.�.ta�� <br />� Q DEPOSIT s I ZI/ V� � . .. . . . WO• . . � .. <br />``I _ <br />SERVICEI�YADDn[��l �h� E>>pr/`lPPa GUIyV BLK. � LOT ....•DD -.. ' <br />OWNE�L_T�L-l...f� � �` /CONTRAGTOR " � <br />FLAT <br />IN37AL '' METERED 9ERVICF <br />1 HENEBY APP�THE�USE OF WATER IN ACCOROANCE WITH THE �'.,J�--'f�'�- - . <br />OROINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING _ ,���,� � . <br />OR AS SAME MAY BE HEREAFTER CHANGEO. ncNeo: X."� �'�.'�� ' f�� �-� ^---� � <br />MATENIALS yi IN. � 1 IN. � 2 IN. IT I PRIGE AMOUNT <br />PIPE COPPER - GALV. - STEEL � <br />CORPORATION � <br />CURB GOCK OT I I I <br />SERVICE BOX. PLASTIC -• C I I I <br />METER VALVE _ — I-� <br />METER No. TYPE: I 3S t <br />METER BOX CONCRETE SMALL LARGE � <br />C� DATEINSTALLED: <br />Coo[ � <br />I) I <br />i� I ��W <br />I <br />� <br />REMARKS: <br />I � ON <br />� OFF <br />LABOR AND EOUIPMEN'f RENTAL <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />Rec�vEo <br />THE SUM <br />i.. <br />I FOR�—�CONNECTION AT BLK LOT ODD. � <br />oiz[ � <br />GSf�G �,�o�r.�rna /w�r_„ _ �re«r <br />SUB TOTAL <br />NOURS � RATE <br />Torn� II i <br />_ r z ' <br />- ' � SERVICE � <br />-� y: ,= /'� pRDER [� ' " <br />EVEHETT,.WABHINGTON, ( ��� It/�� <br />.1 : <br />No [�-� �� � BYCEIVED � , � � � <br />/ <br />w I1. FIXED_E <br />2. WATER._S ' I <br />3. DEPOSIT_i <br />