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�; �. , APPLICATION FOR SERVICE ScRVICE j�� 1 9 8 <br />lo. � ORD�� � <br />,f��G � � � CIT�F EVERETT WATER DEPT. <br />7 <br />� FIXED / ,�`L-J IG��G L�'_rC'_.C� ' D �S. �_i .T— <br />n DEPOSIT ��G ��-� , ' W.`6. " —_'_—_ <br />No. <br />� 7_��. � A � %�' <br />SERVICE �er aooa:s;�__ _ �� -.�BL!<._--LOT—_. J1D�._—_ <br />/1 <br />�p1NNER ..__ _.__ _ .—.— _--_CONTRACTOR_—_ <br />/ "�LrG�t� � FLFT /� /� �A <br />JGT� 1 /� .�F.�C.= L-1LG .U� I=LC-Q-/��Q-+�-LA.eC A�LhLJ�7l <br />I' _—_i.tEYfITCC SERVICE. / <br />' HERE�Y APPLY FOR T4E USE OF WATER IN ACCORDANCE/YfITH THE {�� � <br />OROINANC,iS AN� POLIriF.S OF THE WATER DEPARTMENT KDW E%IS'iING /! �' 4 <br />__OR AS SAMc MFY 13E Pf.f.EAFTER CHO,NGED. SiGnco: X N��_�� —_�.-_--� <br />�� ��� <br />_' _"__ --�_ �- <br />:A4TERIGLS i I'L 1 IN. I 2 RI. � � I YPICE <br />PIPE i.. COPPER���ALV. -- STEEL � �� ( --I��_I �._ • �� I <br />. __—' a— __ —___— �' __ <br />CORPGRATION <br />_CcRB COCK O ___ <br />SERVICE l30% LASTIC� -- C 1 <br />:.tE'TER VALVE <br />IdETER No. TYPE: I 3n <br />METER BOX CONCRETE SMALL LARGE <br />- -- — . . <br />�f: O N <br />�JATE INSTALLED: � � S / _� � OFF <br />GOOE I LAOCq / NO EOUIPMEI6T IiCNTAL <br />r <br />_ I�''��c� ---- -- <br />I <br />---- - --- --- <br />���� _ � <br />-- -- , -- – •- - <br />_— �� <br />REfdARIcS: .� � /7 � 1/� <br />-J,.bLF.., �.L..-4Y--.ti.�v�.`— ._ . <br />i i � ! r' . . . . <br />SUB TOTAL <br />I NOURL RATE <br />-I� _' I <br />I - —j <br />� � J� <br />"i i <br />� — — ji <br />/,5 n <br />TOT.4L <br />���%�l <br />�� <br />� <br />