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s <br /> APPL. BERVICE <br /> No. a s � �9 CITY OF EVERETT ORC:£R N L�7 LI 4 I <br /> •� • APPLICATION FOR WATER SERVICE ////� Q'�i <br /> � FIXEL� �G I�{ I /--7$'S DATi�C "� � -1 �S.! <br /> �� W.O. <br /> � DErOSIT f . Q _ No. _ <br /> � � <br /> SERVICE (�vw oR ����� "'�c��BLK._ LOT ADD. <br /> OWNER v —.CON7RACTOR _ <br /> !f FLAL <br /> INSUL �KIETERED SERV� — <br /> I HEREBY APPLY FOR THE USE TER�IN ACCORDANCE WI7H THE (� /1 <br /> ORDINANCES AND POLIQES OF THE WATER DEPARiMENT NCW EAISTING '/a /J�?b.,,,n ��L��C <br /> OR AS 511ME MAY BE NEREIIFTER CHANGED. eicdeo: X!lLL4«L4��'� <br /> MATEPI�L! � IN. 1 IN. � 3 IN. I_�� PR�CE AMOUNT <br /> I <br /> r:PE COPPlR-•GALV.-STEEL <br /> GORPORATION / __ <br /> CURB CJCK OT I <br /> 6iRVICE BOX PLAS7IC •• C I I � _ <br /> / I <br /> M[TER VALVE �� <br /> METER No. 7 .7.7`(J TYf� • �}��_ ?f I—.I_ ==—I—__— <br /> METER BOX ��� SMAL LARGE _1_ <br /> .}� �—�7�s —� � � — <br /> �OM�('i TR,OI�� Sf}'n�P�F •6 � --� ---� — — <br /> �_�� I <br /> --�— —i — <br /> "-� /D �I� C/� I /`� SL'B TOTAL <br /> DATE INSTALLED: .iO{ /� 0 � OFF <br /> COD[ I LABOp ANO I:OUIPMENt RENTAL 1i0UP8 R�TE <br /> � ��� I a <br /> I .,Ti�tsoti� <br /> i <br /> � �il� I � <br /> --� —--�'l�./f��- �og � � -- <br /> i ' _ I <br /> I <br /> I <br /> TOTAL <br /> REMhRKS: `� �,y� �� �� � d <br /> .(�N�;q /111�1�/- � '/eL <br /> ''$r <br /> � µ �t <br /> �� �rv` <br /> i R""� s <br />