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2 / a/�.s" -- `.- <br /> 1 APPL� � � 1 I S� 'APPLICATION FOR SERVICE SERVICE No 2 q gg <br /> � N�' ` OROER <br /> � CITY OF EVERETT WATER DEPT. <br /> ; �FIXED �\ DATE�L�_I9��_ <br /> � DEPOSIT s �r. U yy, p, <br /> No._ <br /> � � ,., � p� N'/z- — <br /> � SERVICEterwOonE9aJ�—l.0�L�l.� _�}��__BLK. LOT�ADD����� <br /> i OWNER��p_C�J�J.��K�'Q_ CONTRAGTOR __ <br /> 1 �� �F 77 <br /> 1 <br /> I INSTALL REU SERVLQ � �_ <br /> 1 I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> i ORDINANCC� nND POLICIES OF THE WATER DEPAP.TMENT NOW EXISTING � <br /> OR AS SAME KAY BE HEREAFTER CHANGEU. s�cNeo X.. <br /> MATERIAlS � IN. t IN. � 2 IN. � ICE A OUNT <br /> PIPE COPPER GALV.•-STEEL �� <br /> '— L_ <br /> : CORPORATION / <br /> , CURB COGK OT I <br /> � SERVICE BOX� PLASTIC •• C I I ' <br /> � METER VALVE t <br /> � METER No. ��d7 !� ---TVPE:��1.P/�V�I `F _ I — -- -_ -- —� <br /> a—/J--�_ <br /> �CMETER BOX—� CONCRETE � _SMALL, LARGE _L __ <br /> ; � �'��frE ,�S� N I I <br /> i � „����� �-� - - <br /> _ i <br /> � � U, ., ' �_�7'o c ——�� — -- — <br /> i l.S"Ov. �/.zt�S��-..S',�-!�� S7o �� � ��—� <br /> I R3 ON <br /> � DATE INSTALLED: I 'Y q,,: �� O OFF SUB TOTAL <br /> i 4a fKT <br /> �� ��E � � LAOORANO EQUIPMENfRENTAL I MOURS RAT[ <br /> ir----I I s7 <br /> ---��--�-,� <br /> � , , �- _ � -- <br /> -� �-;��-*-�_ 18 <br /> �I . -�-- '' ' �r � / / I8 - <br /> I � �-`� ----�/-3GP I�_ --- - <br /> --�� r � .� I�._- <br /> i- � --- -�1-G�--- ��- - <br /> � Torn� <br /> � REMARKS:f�. � . � <br /> I �L.;_�_—' .:.�)�'' .'_.._—__—_—_ .'— <br /> '. a <br /> r. <br /> "+cc._ . <br />