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qpp�„' ' A(J ?`l - AP°I.ICATION FOR SERVICE SEf`ivICE (vo � 'I �S <br /> No. '/2 J � J �7 CITY OF EVERETT WATER DEPT. ���,� � �� <br /> I�7'f� DA -�--�B . <br /> � FIXED <br /> �^ CQI+ W.O. <br /> r�l DEPOSIT g�_i , � ,,7 No. — <br /> X-� � <br /> SERVICE (9Y AOORE68)—L—������BLK. LOT�O. - <br /> � � � <br /> OWNER� -- ----CONTRACT � 0���� " <br /> /� c �.h*... <br /> INSTALL�L�--METERED SERVICE ---------- <br /> 1 HEREBY APPLY FOR THE USE OF WA�ER IN ACCOR�ANCE WITX THE . , , ' <br /> ORDINANCES AND POLICIES OF THE WA'fER �EPARTMEYS NOW EXISTING �� !�)-, . � �, � �7 ?< ;._� �- <br /> . OR AS SAME MAY flE HEflEAFTER CHANGEO. aicNeo: XL�,--=�.+---,-�=�-�-t ' ' " ' <br /> tdATERIAL4 ji IN. 1 IN. � 2 IN. i PRICE AMOUNT <br /> � 3' ____�-. ,5 I i I"�i <br /> p�pE COPPE�•• GALV.-- STEEL <br /> � <br /> CORPORATION � — I J � <br /> CURB COCK OT I _ JI I__. <br /> -- � i� I <br /> SERVICE BOX PLASTIC -• C 1 <br /> METER V4WE _ I _I__.__ I� �-- <br /> METGR NO. _��O _�.��' YPE:F,[�J (/� _I� --I --'i��� <br /> METER BOX �CONCRE'�EI SMALL LARGE � _ __ _ I, Ilp� <br /> _ �� 2 I ���� <br /> � _��— <br /> I I <br /> � <br /> _ �i— — � <br /> — — �� �-- <br /> I �" J�� 8 <br /> OFF SUB TOTAL <br /> DATE INSTALLED: S-�G -�' 7 � �����'��'�'-' <br /> I LA90R ANO EQUIPMENTRENTAL NOIlR3 RATE _ <br /> COOE � � . -� � � J <br /> I y I�I <br /> � ��� n <br /> I J �_<� �r--1 , - <br /> � ��r F,,.�1I - ,I I <br /> ,r I <br /> _I! - - - - - -i - - I� �,- <br /> � ------ --------------�-- —��i�'--—' <br /> -- I +TOTAL II �-ip I I7 <br /> �/ I q '' ! _ <br /> RE,Y,ARKS: � � i (G� �..� 3_�_'i` _ <br /> 5• <br />