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�>. <br /> ;� <br /> , ;�,�. <br /> ��_,-�. <br /> F <br /> � <br /> '� � . <br /> a <br /> ��� <br /> � � � 9 <br /> APPL�9 �� � APPLICATION FOR SERVICE OR��RE �� 5 6 5 5 � �+p <br /> �.,t�l <br /> "°•n`J ,/ CI7Y OF EVERETT WATER DEPT. � ,��,�.��_ �i�� ��� °� `i, <br /> I`/,1 I'T �A E7�''� ,.. <br /> � �IXED �i �ry rp; - �;r ` <br /> i CV . No.._ � <br /> �{( DEPOSIT f� �7 � ��.�� l� �-�c.c� . • - <br /> X_� l'� �{/�� - q�/)� . . <br /> � . �s-C��LG:✓ ./�:��Gf4'i��LK LOT� � AD�.`��`�/� '.t w1 L <br /> SERVICE (BY ADnREee) � /1 C'� C(�� '.{CGfr. <br /> —___CONTRACT �LLl=1</-�v�/ � �` � T <br /> OWNER-T-- � / �G �/ N • <br /> � �- _�.,���ti,-��: . �J <br /> INSTAL� �/y--METERED SERVICE - -- � , <br /> I HEREBY APPLY :`�R THE USE OF WATER IN ACCORDANLE WITH THE � , _ � ,r _.! .'•:•- <br /> ORDINANCES AND POLICIES OF THE WATER 7EPAHTMENT NOW E%ISTING B�cNEo: X�� - -- - <br /> OR AS SAME MAY BE NEREAFTER CHANGED. " Ppi�� n �MOONT � <br /> MATERI�LS �i IN.I � IN. I 2 IN. I I��_ �J II <br /> _S l � � �_�(� �� ��1�� <br /> P�PE CCOPFE '--GALV.--STEEL __ II� <br /> / � _ <br /> (:C9RPOR L0� I _— <br /> CURB COCK nT _. —I I II___ I <br /> PLASTIC -- C I <br /> SERVICE BOX / — — — �_ <br /> CETER VALV� �--. T I ;L / 3� �j� <br /> �_---_--- [ <br /> METER No. N//7/ � �/�_��i��-}YPE: �i�icF'°A'_..__. — -___._ __ - I ,r�, <br /> METER BOX �0:1CRETF„� SMALL ' LARGE � � _ -- ��-- <br /> � �� � 7 �� .5 ���J�_- � - I �I� <br /> � I <br /> - � �- � � I- <br /> - I -_ _ � �- <br /> � - <br /> -------- � � <br /> �/ ❑ �N � SUB TOTAL �'/ C -C- <br /> DATE INSTALLED: � - C�� - L.Y � OFF -�,_2 ... l� . <br /> LABOR AND EOUIPMENT RENTAL •� I MOUNS RATE <br /> CODE � _ � � �`G -'� <br /> I.���-c t "- l '-_ I � �-I'�- <br /> ! I ..9 � _I� �J I iC� <br /> I_��' ��z,f - �-- - �, � _ <br /> ' - -- -- .--_-__-- � .z ;Gli i I � ' <br /> I _ _ , I ,_ . <br /> � ' � _� <br /> -_._ <br /> � _ -------------- --� <br /> � '_ --- TOTAL �n� I /�I <br /> /� ' _—_ - <br /> REMARKS: -- -------�- � <br /> _—_ � J <br /> �" -, , - - _ __ _ <br /> � ---- _ <br />