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t:: �:_ _ <br /> � r � <br /> h <br /> a� <br /> � W <br /> C H <br /> > H V� <br /> t� <br /> H �-+ <br /> �G C) <br /> H xl <br /> '�sJ H '�i1 <br /> fn H <br /> C�7 O� <br /> H t7 <br /> OH <br /> H [TJO <br /> 4]� C] <br /> 9H �r <br /> HH <br /> O � H APPL' Zf>F3�}S CITY OF EVERETT OROERE <br /> n d� N�� APPLICATION FOR PJATER SERVICE N� 5 61 9 <br /> � � [��1 FIXED OATE Q��_��--�9-gZ <br /> zHrn X <br /> H O (/� � DEPOSIT S 60.00 W'o�___ ___ <br /> �020 Lake IIeights Bldg U ��K..—__�or— aoo. <br /> SERVICE (BTwDOPEeeI r Y �v,�'�- <br /> ��.- �_�;�;;rl —, �-,!'Tr <br /> OWNER pYk��'�"- CONTRACTOR —..-- -- <br /> INSTALL-2� ETERE SERVICE_--— --- - -- --- ----' <br /> I HEHE6Y FPPLY fOR THE 115E OF WATER IN ACCORDANCE WITH TME <br /> OR�INANCES AND POI.ICIES OF Ti!E WATEfl DEPARTMENT NOW E%ISTING ]J _� ,�,/� <br /> OR AS S�ME MAY BE HEflEAFTEfl CHANGED. 6ICN[o: X U"� `�`t'-'�1-�-''��� - -- - -_--- -- - � <br /> MATERIALS +i IN. 1 IN. ' 2 IN. I � I PNICE AMOONT <br /> p�pE GOPPER- GALY.--STEEL �I ' <br /> _ � -__.__ - _ _ " <br /> CORPORATION ---'- _—� ��-� � � �—I�-�--- ��I � � _f__ <br /> .. CURB COCK OT - �-- II -- - � "__ i -- <br /> � �•� ----- � -- - <br /> r� SERVICE BOX PLASTIC -- C I _ <br /> _�� METER VALVE ___ - <br /> i ' __ _. ___ _ _.- .. —_ _ _-"_ . ._ _ - "__" <br /> ' METERNo. �a� .._.__ . ..TYPE��-L+G/5 /G� �_'_" __�_ . <br /> � ^. _ , ._ __ _ _ .. _ <br /> �, ' METER BOX CONCRETE _ __SMAIL LARGE _ _ __ _I_� _ _ . _ <br /> I <br /> _ _- __- _�I'_____' _ ._ <br /> ____ __i �_'_'— __ __ <br /> f +,6 _.J_" — --- — <br /> I "--. _ _-—_I'—_��—_"_Il�i —_ .-_.. <br /> '�._. �_ ___- -__ -__: — ._ _.. _ __- . <br /> ��' ' i <br /> N <br /> DATE INSTALLED: // � (�_ �� I �FF SUB TOTAL <br /> 7 <br /> , _ CODE � LADON AND EpU1PMENfR[NT�L i NOtIRS RAT[ <br /> ���� L.'l'I'TG�Y�i��l_�--_ I ._. .. _ _.-_ — _" <br /> -------� - -----� - <br /> -- - <br /> � - <br /> ! � I -- — - <br /> — ----- �-- � - <br /> �I =����. i I.._ . _ . _ . __ _. _.__. -_ <br /> � —� � � i _ __-_ -. __ <br /> __ _ _ —_-___.— _ "__ . .--_""_-"_"' '__ - <br /> --I 83�3356---- � - ----- - ------ -- - � ----- =-- ��- - -- —--- <br /> i — <br /> i <br /> TOTAL <br /> REMARKS: _ _____ .,, <br />