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y�,,� �i 2ic-iy <br /> APP '�f�DLs�utl.� � <br /> Na• " C!1'Y OF EVERETT SERVICE <br /> APPLICATIqN FOR WATER SEF.JICE oROER NO. . . .� l. . �, <br /> � FIXED E� DATE /� � _18�^ <br /> �UEPOSIT ���)_ W. O. <br /> NO. <br /> SER\/ICE (py A�DRE56;��'�� �LCjL���y7 � <br /> OWNER�ST/LC. � � ' BLK._ LOT ADD. <br /> ���(��_.I�/G!�'G: ! <br /> FLA � _CONTRACTOR_ <br /> INSTAL� _METE:RE� SERVICE________ <br /> 1 HEREBf APPLY F(1R THE USE OF WpTLR ID. qCCOR0/�NGE WITH THE <br /> 03DINANCES AND POUCIES OF TNE Wq'ER DEPARTMENT NJW EXISTING ' <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicN¢o:X . � � . "�� ���.K.i� <br /> MATEFfALS �/i IN. 1 IN. 2 IN. � <br /> �Q ` .__ I I PRICE AMOUNT <br /> F'�PE '��COPPER GALV -STEIiL <br /> CJRPORATION — — � � 1 <br /> y... _____'— _— � <br /> �CURE COCIC7 OT _— ) I� - � <br /> -''�^ d <br /> SERVICE BOX- __ PLASTIC -- C � _— — I — � � � <br /> METER VA!-VE — —� <br /> M[TER No. _ � ` TYPE: _ I 5f --- <br /> METER BOX CONCRETE _ SMALL L. :GE_ . <br /> _ _ — ---- i _-- a <br /> I <br /> --- - —I—� — --- <br /> � � � � � - <br /> I rc� or� <br /> DATE INSTALLED: �k�� f�� •y � r OFF <br /> � I� SUB TOTAL '� <br /> CODE �i LABOq AV❑ � � �� <br /> � EOUIPMENfRENT:II qOl1RS F�TE ��' <br /> I I i <br /> I /' y+r/� ..D <br /> --I — ���_�'� s- • -�� _ <br /> —� - ---�— � <br /> I — -�— — � <br /> I C l S• —�Ci�c' C I S c/'c.iC c' / ..-_:,:'� <br /> _� Y'�/✓J 7'�/�OU- Cf �C�C' . TOTAL ! <br /> REMARKS: <br /> ----�-Ecr�7l.c,v _E�r_L-�-ls-��r- LUA7_��u�Ge .�� L�-R�1 <br /> �-- <br /> � Cc' -i <br /> �s <br /> �� <br /> � <br />