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� APPL �,����� A'tPLICATION FOR SERVICE SERVICE No ZZqs <br />'� No. � OF.D`eR <br />� �o�r�c� -� `q��-� ClTY nF EVERETT N'ATER DEP7. <br />� FIXED DF,TE_ ���_�g7� <br />� oePosirs �.C���.``�' F'��. SI'�;7W r�ra��� Zi4S1 w.e�u w.o. <br />�f __ U..'is=.� 1..:�(i� piY-LL:l� .1X.i�� No._— _' — <br />� SERVICE fer�ooaess>�l ��� (,/���J�/1-�L�� x� �BLK. LOT. � ADOI SON <br />� R.,J%�l�'t.'S��F'f—N'GZ/ %-n�� <br />. OWNE _CONTRFCTOr <br />� LAT ) T <br />I INSTALL�Iif'._ RED SERVICE__ __ <br />T <br />I I HEflEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />I ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />� OR AS SAME MAY BE HEREAFTER CHANGED. sicHeo:%. <br />� <br />MATEPIALS I����� I 1 IN. I�J <br />PIPE <br />� CORPORATION <br />c-iiae ,,,,K /Q <br />� SERVICE BOX <br />METER VALVE <br />METER No. L� 7 <br />METER BOX Q <br />� <br />�— <br />I� DATE INSTALLED: <br />, CODEI I <br />CR <br />GALV. -- STEEL <br />� <br />PLASTIC - CI <br />__ --'TYPE: �/,� 1 I �ff <br />I'E SMALL �LARGE / <br />_gi oN <br />t � �� � � �� OFF SUD TOTAL <br />LA�DR ANO EOUIPMEN�fRENTAL NOl1R5 RATE <br />_ _� <br />_ S / ,�,' � � `,< <� � I I -'. — --- <br />_ __—_ � �L S �f�� f —� �� —_— <br />I `,.�it� 2. // <br />� 1q - <br />, � _ _ _- - -; a �b�ii�s�.;, <br />� �� -�—( --I�. ��'� <br />�---� -- — - -- --- �' — - <br />�-- -' ; ; >•� <br />� <br />i REMAR.'.5: <br />.. __ _ -- —_____ _- - _— _ _- . ___-- _ <br />�. <br />TOTAL <br />NT <br />