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nPPL. ������ APFLICAYION FOF: SERVICE SERVICE {V� 9 � .�i <br /> Tlo, , ORUER . <br /> � , � GTY OF EVERETT �VATER DEPT. � C� <br /> �7� / �- � <br /> " C /.C? dATL'�� —I8� <br /> �'IXED / <br /> / �, ��� N/.O. <br /> � DEPO51�" y :'-�,_ � . No. — <br /> O, � � <br /> SERVICE (nY/,ODaEse) �� �'�- "f � �t.-���-�f i�—'� BLK. LOT ADD. <br /> OWNE�i1 7�./ J ' �- .:ON7�2ACTOR �-'���' — <br /> / � rtxi <br /> C)/� !�L[ Lr-.�_�-.�J �{'�iC�t L ) Y <br /> � • �7J'rr' J �� ,i�a�v�n '� - <br /> �� FLAT � <br /> INSTALL:�• METERED SERVICF � <br /> I HEREBY APFLY FOA THE USE OF WATER IN ACCORDANCE WITH THE � � <br /> ORDINANCES AhD POLICIES OF TkIE WATEN DEPARTMENT NOW EXISTING / ' (�' �� (ti��.,+� <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. s�cr:eo: � --J— <br /> ldATCRIA'_5 — °w IN.I t IN. � 2 IN. Zr! I � PHICE .SMOUNT <br /> PIPE GOPPER--GALV.--STEEL � �� I �� ��%�� <br /> --_ �.,� —L� —I� — '7� �y�n <br /> CORPORATION /I�.A.�;t I �_ �it�/�I `J�/Y'� <br /> II I <br /> CUR� COCY. Ol' � __ <br /> SERVICE BUX PLA9TIC -- C I I 1 � I <br /> METER VAWE _� � — — ___J�'= f'-'— <br /> METE__ Fi_Np,�fG�_ ' f t ;_4•�TYPE:` au I ��d — / — — ` <br /> �,iJ <br /> METER BOX CONCRETE SMALL LARG I I �D� <br /> `��..�,.� --� � _��� <br /> � I � � I <br /> _ -�-�„�?,T �_ ' ---� 7� I .5 �i� <br /> r' C:w'�¢..._��_ — � -�, � .b �—��O <br /> ` 9n �_' __� �� � �L� <br /> � I I I <br /> I � ON <br /> DATE INSTALLED:y , 2� _ - j ❑LppF ,�L/J — SUB TOTAL ��l/� <br /> C _ <br /> CODE � <br /> � LABOR ANO EQUIPMCN�RLNTAL HOURS FATE <br /> I�:��— ,�o � i. �� � - � .___ �/ �� 3a' ��2.. <br /> I �� � o - - C: . ' � �� ;�� �. ( _ . , _J� _�I _. <br /> c �,� �c.-- . <br /> � I <br /> — --��� � �/c�' _`t 9p = ��;�� � _ , I <br /> - -. ,�, � � i � II I <br /> i�}��� �l, / � i �ti' = Ce ( - � <br /> -l.✓_' <br /> �f�„r_�`, �� ,-9 � F L "� � . �' >.G� � lS �II___7� --- �II � <br /> � , ' - <br /> -I� , � , �_ ��. <br /> —T,a.__ __ ' __ ` 3 Torn� I� <br /> ____ 3 ' 7 � •3,�- <br /> REMARKS: �4 C� .aL� 7J�S / � _—IZ � � �—� U� , i t�"`ti ��lr � . <br /> .-- ,�/, � / M 1 , .T-� . . _ ' � <br /> ___�. / � �_..is.c�G'S�X__V'_—_. �/�_ _j_ .. _.-__ .. _ . . __ __..___- ____--_�' ___ <br /> ---- <br />