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'4PP�-����.� APPLICATION FOR SERVICE Sl4FNICE j1�° 18 3 4 <br /> No. ' OR:�ER <br /> CITY OF EVERETT WATER DEP7. <br /> � XED Ov DATE , '� ✓ _�g� <br /> � DEPOSIT�Q -_ W 0 <br /> No._ <br /> � � _— <br /> SERVICF_ (eY Aooaese)� /'D /�CvLL' / (� _BLI<"� LOTf�DD.+ eCK��v���'U <br /> OWNER C.ONTRACTOR_ <br /> �-- FLAT �� --'— <br /> INSTALL�L METERED SERVICE ,��--__._ <br /> I HEREBY AppL�TNE USE OF WATER IN A0.0RDAHCE WITH THE � <br /> ORDINANCES AND POLICIES OF THE WATER GEPAR"MENT NOW E%ISTINi3 <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicN[�: <br /> T1Al'ERIALS �H IN. 1 IN. � 2 IN. I —_� — PRIC I.MOUNT <br /> P�PE COPPGR--GALV.•-STEEL _ I I <br /> i <br /> CORPORATION — -- —� <br /> — I <br /> CUR6 COCK OT � I �— <br /> SERVICE BOX PLAS'!IC - C �' I i � - <br /> ME7ER VAWE --- <br /> METER No. TYPE: I qi � —� <br /> �__— <br /> METER BOX GONCRETE SMALL LARGE _ � _— � I <br /> I I <br /> � <br /> I-- __ I <br /> I I � -- <br /> � p oN , •i <br /> DATE INSTALLED: / ,_ . . —.�, � OFF v/�!� f'�, SUB TOTAL <br /> CODE I � L�pOR AND EOUIFMENT P.ENTqL HOURS qp'�� I <br /> � � I , � � ��� <br /> � �� <br /> I /Y� . ..0 c. i� <br /> I_L— ' I--- <br /> � �j <br /> —� �— -i� � _. <br /> -�- __ _ I ii i-- <br /> �� � � <br /> TOTAL � <br /> RE\fARKS: <br /> ��'"� -- _—_ __ <br /> ' __ — __ . �f' (.'!r __. . . <br /> (� <br />