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� � � <br /> m � x <br /> C H <br /> 9H � <br /> r <br /> y �H <br /> K n <br /> H � <br /> � H � <br /> fn H <br /> C�7 O� <br /> H t7 <br /> OH <br /> H [�*1 O <br /> �Y �] <br /> zy� <br /> � z <br /> HH <br /> C7 � <br /> o d�' APP�• CITY OF EVERETT SERVIGE <br /> 3 � � No. y6843 OROER <br /> APPLICATION FOR WATER SERVICE I�•j° 56 1 4 <br /> Z y Cn DATE OCt Z� _ _.19 8�. ' <br /> y p CA � FIXEO <br /> � DEPO5IT y G0.00 No�-- — �-- <br /> � ?O«7U l.� I'��i �T.1`� �' �l`'� T <br /> SERVICE (OY AODnEee) � ., �� J BLK.. LOT--ADO. -- <br /> �_x;,;��Zn 1�/��� <br /> OWNER— '��1� � r r,� t CONTftACTOR. ---- <br /> FL.A <br /> INSTAL Z� METER SERVICE_ — .— - "—--'---' <br /> I HF.REBY Aop�Y FOR T OF WATER IN ACCOFDANCE WITH THE q <br /> ORDINANCES AND POIICIES OF THE WATEH �EPAPTMENT NOW E%ISTING �!� �. kA� „ �,A— ,._ _ _ _. <br /> OR AS SAME MAY BE HEHEAFTER CHANuEO. ei��+[o: % "�u (Y ��—y ���••�— <br /> M.�TCRIALS — � IN. 1 IN. j 2 IN. 'i I PfiICE AMOUNT <br /> PIPE COPPER--GALV.--STEEL _ _ __�__II_I_ _ <br /> � . CORPORATION - -.— - -- <br /> li���; _ . .. - - - — II_ -_. <br /> a CURB GOCK OT � <br /> � I I <br /> � SERVICE BOX PLASTIC - C 1 _ _ —� <br /> � METER VALVE l _—' — I -- --- -- --- --"- <br /> I I�_f METER No. O ,�� �j___ .—_TVPE:�iG c/S/�F? '. -- . _ ____' —_ <br /> �—f _ - <br /> � METER BOX CONCRETE SMALL LARGE � _ __I_ ._..- __.__ - - <br /> . _.__--_ __ _-_ _ I _ - I _I_I�- - _ _ '- _' <br /> i �__ __I -_' <br /> ._.-_- .__ .._" _"_ �_�— _ __'_ <br /> __"_ __II �{II �— __ --__ <br /> '�'i, _- I—I— - <br /> r — � � JI I <br /> , OATE INSTALLED: //• � �� p p I n FP SUB TOTAL <br /> �IY' CODE DOH AND LOUIPMENfRENTAL I HOURS PATE <br /> I� —__ __�/,C'rl"cT'k' --I -- —' -- --- . <br /> —�— --- -- — — — <br /> i ���1 I ---- -- _ - - - - - <br /> � ' ------- --- - - <br /> I _-----__ -- --- <br /> _� 03/03381 -- . --7--- - - - �� - <br /> I � <br /> — TOTAL <br /> REMARKS: . . _ ._ -_- -- . - � �- <br /> _ __. . _ .._ . _ . _ . . - <br />