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1 <br /> nrr�.�/��� APPLICATIbN FOR SERVICE SERVIGE No 2319 <br /> No. / / <br /> �� � �`� CITY OF EVERETT WATER D�EPT. oROER <br /> • �� FIXED /� DATE_�[l l�� .-187� <br /> �^ % C�l� / <br /> � DEPO3IT �_r � ..- W. O. <br /> No. __ _ <br /> � 1 i' t�� ',^n <br /> . SERVICE (B\' �D�RE66)��J'I`-' t������ _BLK.S��—��LOT -I O AD�.s..X.C.Kd�TT - <br /> I OWNER�,.C��I�4�-_J_7C_(�(�1L7- CON'fRACTOR_. —__ _.__ <br /> li FLAL <br /> INSTqLL I �METERED SERVICE.�_-- —_�C-� � _ <br /> I I HEBEBY APPLY FOR THE USE OF WATEF IN ACLOFDANCE WITH 'fHE ' / _���� <br /> � OROINANCES �ND POLICIES OF THE WATER DEPARTMENT NOW EXIS'fING <br /> � OR AS S�ME MAY BE HEREAFTEfi CHANGED. sicNeo: X . "� ._--__ ° <br /> I "-`-��-�_��_-_ <br /> MAiERIALS ��W_ IN.i`_� 21N. I '� L Pq�CE OAM UNT <br /> ; PIPE GO�R GALV.•_STEEL __ <br /> �,i J <br /> I CORPORA710N � � I <br /> � CU� RB COCK OT — -- - — i --I _ _____. _ <br /> � —I _ _ _ <br /> I SERVICE 60% __ PLASTIG -- C i _ _ __ <br /> ' METER VALVE <br /> i_ METER No. �j� f TYPE:HE�fly __ I � _ _ _ _ <br /> � �� —_ _ __ <br /> r� METER BOX CONCRETE SM�4LL�LARGE I <br /> � <br /> t--- --✓_����r��l ,�H_�_,c��_-- —�—� � — — <br /> ; _ _I I_ _ _ <br /> � --- --- - - - I �.l- <br /> � -- --_-_-- - --� <br /> - --- -- - <br /> �--- -- _ _ - --- i-i--II-I--i-'- - - -- - <br /> I OATE INSTALLED: ��J` Sj i'1 r7 / I � OFF SUB TOTAL <br /> � A'!/ ( {� <br /> �C. OCE � LABORqNOEOCIPMENfpENTAL �i MOURS RATL <br /> i_-�I <br /> -_. -- _. . _-__. ._ . _ . _._.._ <br /> -_-�__- ___- <br /> ___. <br /> � � �� �_3 <br /> � -- - - <br /> j—' �`� -- �� ��— — ----� �'-- ---- — — — <br /> I ' �`' �-- -- ---- _--�- - <br /> I I I <br /> j I - -- - - - I -- -- - <br /> I- I ---}- - <br /> � <br /> I TOTAL <br /> I REMARKS: � . . . - <br /> i-. --_-'. ____ . __ _. . . .. . .. . . ....-.�_'._1�_. .._ . . . . <br />