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APPL._ ' ��a� APPLICA�ION FOR 5ERVICF. SERVICE N° Z O $ <br /> ORDE / <br /> N�, J ,��> CITY OF EVERETT Wt`.TER DEPT. \ { <br /> DATE�.S�����-19�� <br /> � FI%ED �/\-- G <br /> /�� � �'C) tV. b. <br /> � DEPOSIT g /(,��_\ � �Jo. - .- <br /> SERVICE tov�oopess�.-__� � n ����`«l� � / <br /> 1=�_:� �� �LIC LOT_. �_p DD. <br /> i L /�/� � /J <br /> OWNER__:_____._._____-_-- __—CONTRAC C_��_ILLLi�i �xy'=flP1��}�+ '_G <br /> FLAT <br /> INSTAL� �/`� ., METERC4 SERVICC---.------- ------ • ' <br /> I HEREt3Y APPL1' FOR THE USE OF WATER IN ACCORDANCE \YITfi THE <br /> OPDINANCFS AND POLICIES OF THE WATER �EPARTMENT NOW EXIS7ING <br /> OR AS SAME A1AY �E HEREAFTER CHANGED. ctcri�'o: X - - <br /> �1ntCR14L^. �K IN.� 1 IN. � 2 IN. L_j PRiCG I�t—r.:OUY—T <br /> plpE �COPPER4• GALV.-- STEEL _ SG�I � __I_I_ .�I�� ��z��l � <br /> CORPORATION � I_ I' J�/�/_ <br /> �CURB COCK. __ (C y_ r` �_I I__ _ II_ �/{O_ <br /> V <br /> SERVICE eOX LASTIC - C I_ � I II � <br /> MeTER VALVE __��� _ <br /> , __—_-__'_- '_ I 'I__ -- _ _ — '_'-. <br /> METER No. TYPE: `i I�_ <br /> METER EiOX CONCRETE SMALL LARGG _ �� � . <br /> —� �� ���2- <br /> -Co — -- <br /> _-- o , L 1--i - - I��3 <br /> - v �� -) -- �I- <br /> � � � � � <br /> � ON <br /> DATE INSTALLE�:�. � I �OFF / '.� SUD TOTAL ��� �Z <br /> COpE I �rIUOR AN� EGUIPMENT PENTAL � NOURS RATE <br /> � <br /> I?�' r't.' ! t __ —' - (_1_ I r�, <.,s <br /> — � --- ---- � � -- <br /> --- ry� �- <br /> Irr� - ��_ _'� � �� ��� G� �' ��1._ <br /> --.� �' – – � —i' � <br /> i I h i <br /> -- — - � 3 �, � " I'i I��- <br /> --I L�-�---------�----=`<----�-`�--------- -- ----,---�1--- <br /> � <br /> , I `? � ?. �; �' /,- I ; (� <br /> _ ID '� -- TOTAL� I', %JI p <br /> REI.SARKS: �_�fi3 r'^__ "__CLb-��-- --_.__ �.I <br /> - -S; <br />