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AeP�. � O (O OO ' APPLICATION FOR SERVICE seR �e N� 1 31 i J <br /> No, / oR� <br /> p ixEo CITY OF EVERETT WATER DEPT. D � - � <br /> c,; in ? <br /> . �.y <br /> —i�— <br /> � DEPOSIT s J� .S " 1 . <br /> — / �� o. _' <br /> j" p / � � ' � <br /> SERVICE V ADOREti) '� �-�r�i�L�','C LC� tir� (.(J't�'� l / � � - / <br /> � �HLK. `� � �A' <br /> � � � / OT.�-._ � (;�� ;��•' <br /> OWNE ll/l'r�-oirY �. � _ • r �Q-d��%J��GCf .)9te.nl.tn�. <br /> � CONTRACTOR• ' ^ <br /> i/ �f <br /> INSTA � / _M�E�TERED SERVICF ' �1 �•�- t /i .i{.1i2`.��/�r> I'%c/ .;�. <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �n���� rJ� ' <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING // <br /> oR AS SAME MAY BE HEREAFTER CHANGED. s�aNEo: X_��.X/ _ �isCs� <br /> 7f–__ <br /> MATERIALB � IN. 1 IN. � 2 IN. I pRICE AMOUNT <br /> ����' <br /> �'�PE / C�C�PPER GALV.-STEEL IL� � 3/17� - <br /> (CORPORATIO L � / � � II �L� / <br /> CURB COCK OT _ I II I � <br /> 3ERVICE B PLASTIC - C 1 I �— — �I I <br /> f <br /> ME�Wfi / — I- iL ��, <br /> METER No. �1, �/ L� �{' � �� <br /> / � ' / ,3y� TYPE•��/��LN! I '�s � _ � �J ��. <br /> Y �ETER BO ONGRE MALL LARGE � __ L/ � <br /> _ c� n y L! _ _ � � -- � -%�- <br /> f x �,✓.� S,e �l��L� —1 L �_ � ��� S�. <br /> �.S'h X%�8 —- — <br /> — - I � <br /> –�_— <br /> ��� I —I— ---- — <br /> ON ! <br /> DATE INSTALLE:D: � . �,�j � �O I n OFF �f� ^� �� SUB TOTAL S� / <br /> w+ � <br /> CODE I ��pUR AND EqUIPMENT RENUL � I HOUPfi RATE <br /> '� — <br /> i ` ,c � i �l i �� j I '7 � <br /> -- ,lil�_ �`� � � ti I � <br /> I .g__.'.__� ----' --- i 7 ,�,� �,-1 li �• �I i��I <br /> --������ / �� _ _ I .3 � so li � o I s� <br /> �- - --- -�- �''- I <br /> J� I __ -- - I TOTA� I��I7 � <br /> REIdARKS: <br /> T �__ __— '____—_—._-- � <br />