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qppL, (/� 5 77 APPLICATION FOR SERVICE SERV� e N° 1 1 9 9 <br /> No. V ORDER <br /> -7 GTY Of� EVERETT WATER DEPT. � j 3G> ��� <br /> CJ 7/ � . DAT% . !L —19— <br /> � FIXED /�_y_i/�[.:_ii�--C.�,� / <br /> W.�. <br /> � DFPOSIT S_�___ / No.--__..--" <br /> / � i c-� ., �..•�,��� <br /> SERVICEca•nooarss�—�"���� � �'�'" � —GLK. LOT _ADD. -- <br /> O}N N ER—�-- � ,� —CO9NTRACTOR �/ -— <br /> �lL i:lli� ..��� ' FLAT �!�/."!(A!.•J;_/'-�/,i.Sl�Pi V'-�'>a•Jfi�l//CZ!.�/. - l�!yt.¢!;. � <br /> iN�TJtt-��---��-SERVICF — � � 1"� <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOROANCE 1VITH THE � / ���� � <br /> ORDINANCES AND POLICIES OF THE WATER DEPAPTMENT NOW EXISTING �fi,��_t�_-ei.�j L'>9 `'J��� � <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. sicrveo: X__—_.. - ��--�-�"�--- <br /> MATERIALB 3i IN. � IN. 21N.� � ', I PRIGE AYCUNT <br /> PIPE �OPPE�f .-�GAW.-STEEL _,(�___L__I_I_ ����I <br /> CORPORATION I Ii �� <br /> _--_._� I I I�i/ <br /> CURB COCK OTi ' _ —�J� ����Y <br /> -�---_-- - _� � �� '. <br /> _ SERVICE BOX `LASTIG = C I __ ___ �---� <br /> METER VAWE _ _— ---- <br /> METER No. TYPE: I=f _ _ � _ <br /> METER BOX GONCRETE SMALL LARGE I <br /> — I —' I <br /> — —i — i <br /> — I �I — <br /> _ — I I <br /> — _— I —I _ — <br /> � ON <br /> � �ATE INSTALLLD: � ��(` �r C I �OFF �-1�_ � � .�. � SUB TOTAL I /� / <br /> COOE � LAOOP AND EO111P1AENT RENTRL I MOURS RATE <br /> / �� :.- <br /> I �r�. <br /> )'—_ -- __—_ _ <br /> I._/�' J--j+JC_--{ __ —___"—_ _.___.___ = _�'�I�I_!_—� <br /> � L`—Ct ( /G '� �'` F I __' 7 � l�L`_:' <br /> � --- I �i I <br /> � '� � <br /> — -- � — — _--�� � __ <br /> ------ — -- -------------- i <br /> - ----'— <br /> ----� — I <br /> �---------- -------------- i � � <br /> TOTAL 'I <br /> / _ ' <br /> REMARKS: � t � �� � � �. �. P h '� I t P . <br /> ._ _..I ... ___— <br /> ' ______ <br /> _ —_—'_ <br /> ._—.� _'_ ___'— �.� <br /> � � <br />