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i.r-P�. ' �,9�D� APPCICATIbN FOR SERVICE SERVICEjv° ZO � <br /> N /tJ�rp� CITY OF EVERETT WATER DEPT. oRo / <br /> � FIXED DAT�Q��_��'g� <br /> /7 <br /> � DEPOSIT��D, D D � �'� � U <br /> Na � <br /> �_ � y,(�J C.Ur.. <br /> SERVICE (BYAo Ess).-/.__�J • / -��CK.'.° LOT A O._ <br /> OWNER """�'"'� \ �L(� CONTP.ACTO}n /�-�-""^���� <br /> �� FLAT / _______1<'7�.�• <br /> INSTALL��}�{{�p SERVICE' <br /> I HEREBY APPLY FOR THE I15E OF WATER IN pCCOROANCE WITH THE �I <br /> ORDINANLES AND POLICIES OF THE WATER OEPARTMENT NOW EXISTING /�� l ` ���P - <br /> OR AS SAME MAY BE HEREAFTER LHANGED. SIGnEo: <br /> :.I\TLRI iL5 �/i IN. 1 I 2 �fl. I-I PRICE f AN�NT <br /> PIPE ,3/�� COPPER -GALV.--STEEL �F7, I ( ' •5� I � � <br /> CORPORATION _� �-_ II 3�lj <br /> C���a �o���; o,' _L_ I I �u/L/ � <br /> SERVICE BOX PLASTIC� - C i � I_ I _ -�I T J <br /> METER VALVE ,____'_...._'__ __� I__ <br /> METER No. __ _ TYPE: ___ I 3N _ I __I___ � <br /> METER 60X CONCRETE SMALL LAf:GE _ _ I _ <br /> -I -i- i�i <br /> - - -! - ��--� <br /> � <br /> - -i _ -. <br /> �-I i � - � <br /> � ON <br /> DATC INSTALLED: 7 - Z `� L• � I r-r/pp� _ �-�_� r`. SUB TOTAL _ � <br /> �es� -r y� � � .-�-. . <br /> CODE I l/�BOR AN� EqU1PMENT RENTAL� �� HOURS PATE I <br /> � . I . �at,n�..�4� `� �T) 3 � rS3 � /�� Cl� <br /> I r' (', i r.� c. z � eti 4G��s� � �__� 7 e,00�3� 20 <br /> � <br /> i . � C , �G 2 /,rs l� -Z � �J . ���f� ja��3 <br /> ' II II I <br /> - -- - J �I ; <br /> —i I --I--.. <br /> - �— -------- —i -i <br /> � <br /> - _ TOYA i �i QIl <br /> RCPdARI<S: <br /> _ _._ - _ __�' <br />