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-APPL. ' , � ` �8 APPLICATION FOR SERVICE SERVICE N� 4 3 3 <br /> N�' ORD <br /> �<�L;a�P CITY OF EVERETT WATER DEPT. �j��� �(y <br /> � FIXED DAT �_�p%oG <br /> �DEPOSIT S��-5 �-( w.o. <br /> ) No. <br /> �^��[�1—� // �' --f <br /> SERVICE (HY ADCREBB)__���� � '� � �"" "`��-`�i ����/ / <br /> � _LOT_L.-�ADD.� _ , <br /> i <br /> OWNER ��^�` CONTRA y.�"1.�4-i'_�S�`�i.. j <br /> l �� ��t1.� ..��N--r <br /> INSTALL � METERED SERVICE_. _� _ , --�� <br /> I HEREBY APPLY FOR THE IISE OF WATER IN ACCORDANCE WITH TNE 1 � <br /> ORDINANCES AND POLICIES OF iHE WATER DEPARTMENT NOW EXISTING I � / <br /> OR AS SAM! MAY OE HEREAFTER CHANGED. slcNEo: X_` %`� � Zti"�(!�.�_ __ <br /> MMEHIAlB ?i IN.I 1 IN. � 2 IN. I I PqICE AMO IN"i <br /> P�PE OPPE�GALV_-•STE'eL �S � I • 7D �J D <br /> ,YC6RPORATIO.V1 _ _ ` � �— I � <br /> CURB COCK OT I —I� � I <br /> SERVICE BOX PLASTIC -- C I I <br /> �1( ETER VALVE ( .'Z [73 <br /> ✓ 1 <br /> METER No.273'„� • II�ZO J`Z rrPE: R�c/G,�j.I�..-/ _ ___ -- — �I i�.� <br /> METER BOX �ONCRETE �SMALL� LARGE f <br /> -�-- - tI�"�'35 <br /> c �/ t- 68G - 73� / � I� �7 <br /> -1--� -� - �- <br /> _ _I--- - - I <br /> _ I i -�— <br /> � ON <br /> , DATE INSTALLED: � — � y' — �,� OFF ��� SUB TOTAL � � 2 <br /> GOOE I LABOR AND EOUIpMENT RENTAL HOUR9 R�TE <br /> �,�1 ,���; I ,..;;-; -� �� <br /> i >�i,��«� _ I� -�_ � a� ;:i Yc <br /> - — -- i _�;� i <br /> ; - — � <br /> -- - � _�� � <br /> � 1 � i � .j — — <br /> �' — — — -- J__�_ h I , . , <br /> — I --- i --�� <br /> TOTAL i J IZFj' <br /> REMARKS: � <br /> ��� _�'—_'. _____.. �`•ll. <br />