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I nPP�.�y `(��� APPLICATION FOR SERVICE SERVICE No ZOg6 <br /> � No. G 1�� ORDER <br /> CITY OF EVERETT WATER DEPI'. -7` <br /> i �IXED OATE_�C�LQ—__�p(� <br /> � � �EPOSIT ��_7°� �1•'C, V/.O. <br /> 5 C.,___�'_ NO.— <br /> i �j (� _ <br /> � SERVICE (B/y) �GCRess)����/ p�'� �� �C��F'--���� BLK. �Z LOT�7-�LADD.����� <br /> � OWNER-�N��l- ����Z ____GONTRACTOR___ _ <br /> I �^ _ --'—_____ <br /> � IN57ALL�_METERED SERVICE - _ <br /> �� I HEREBY APPLY FOR THE USE OF WAT[R IN ACCOPOANCE WITN THE <br /> � OR�INANCcS AND POLICIES OF THE WATER UEPARTMENT N01Y EXISTING <br /> � OR AS SAME MAY BE HEREAFTER CHANGEO. s�cHeD: X� 14i ��7-�i�—_ .__- _ _ <br /> �'- MATERIALS u I �/i IN.'I 1 IN. � 2 IN. � � I P� AMOUNT - <br /> ,' PIPE �COPPE�ft-1'.Gql_-V.-- STEEL r II��� I I 'I <br /> � CORPORATION �� � <br /> I <br /> f CURB COCK OT ___ _ • I �_I_ __ <br /> SERVICEBU`( _ PLASTIC_-- CI _ I � <br /> I METER VALVE _ ___ ____ _ _ _ /IY I —� - —- <br /> � METER No._��_77 � TYPE: h.F,Q�}'� I ;{ L r-- � � � �--� -_— �-'- <br /> — �_ r_ " ,y —__,_.- _ ' <br /> � --/�__ , -_—_'._�I —__ __ _' — _ <br /> � METER BOX CONCRETE SMALL� LNRGE � <br /> --- c'�D�'��.Y� �_I_I� —_. - -- <br /> I II , <br /> j df�Tr_'/l�'rf��/� / ,• I - `� — <br /> � -- - -_.. � ' -- �'— - - <br /> � I I <br /> ; - __ ----- , —�— --- - - <br /> � --- -----�-� -�-;� --- -- - <br /> I �ON <br /> ! DATE INSTALLED: ��_. ?- �T � OFF SUB TOTAL <br /> J _ <br /> � CODE I !.ABOR AND EOUIPMEN f RENTAL I HOURS RNT[ <br /> ���/._ , �"��— _—_ _ --_._---�-_"— <br /> �_—�-�'�--�'��'-�1=� I-- - — <br /> ' ��_��-- �`7�zi �--- -- — <br /> � i��, � X �i � _ _l ___ __ I__ ___ _ ___ <br /> I_ I:�;c; � .37�'--- ��--- -- - ' — -- -- <br /> i i��,.�j�/-�- - - - - �-- -- <br /> I_ I ' /cao ! ' <br /> 7 /, iJ'. '�-a�"� CCic,r!-P <br /> I_ � ��nc /f 1�' n p/� i�;a j�( TOTAL <br /> I RENIARKS: ��� .- , - �i <br /> i <br /> , . . :' .- . : . , . <br /> _,.-___ _ '-'___�- . _:. .._- __ . _ . _ .-___—_. __ . . : _. __ '_ —' <br /> �'_—_. . ' _----_ -_ _—__' <br />