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A:'pL' •����� �`.1PPtICATION FOR SERVICE SERVICE IY° 1 1 8 3 <br />��.�-�� .,�,�� CITY OF EVERETT WATER DEPT. °ROER , �`7 <br />� �` ,� . DATE.%�iJ —18 D <br />�FIXED " <br />� J y- �r : « f I - �� <br />�� DEPOSIT s C.'J_/�-�CC C._vZ �,�, �i. _ ; %'L � % - N .0,� _ - <br />% <br />��/C>t> ���L ' ' � <br />SERVICE(nv�ooaE�s) ��� ������f � OLK. LOT ADU.— <br />/ �/ � <br />OWN�RL�.�� ��C'wTt:.✓(_�` •�� �•:�,�_�rl�L'.'l-C��tyr�•��CON RACTOR _ <br />r <br />INSTAL�� / M•F ET RED SERVICE ��)� L"� ``�"l''" ^ <br />�'j CG .`. <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORUANCE WITH THE Y���✓ f-���=-`'�`r�'�" <br />ORDINANCE3 AND POLICIES OF THE WA7ER DEPARTMENT NOW E%ISTING /z�?��_�_ ��� ,.c+_ <br />OR AS SAME MAY BE HEREAF7ER CHANGED. sicrvEo:;f- <br />MNTERIALS ii IN. 1 IN. � 2 IN. � � PRICE <br />PIPE COPPER -- GALV. -- STEEL _ I I __ <br />CORPORATION � <br />CURB COCK OT I <br />SERVICE BOX PLASTIC -• G I I <br />�r... � . ;-. <br />.A1ET�3'ii2-VitttlE �JJ_i�(; )/- - �! r "i� ' 1 •' i� !.. � _ <br />� _ �' �_—_ - _— --_ _ -- <br />METER No.J,�,�%-.�%``l,,�JO�f�JTYPE:S�X��fil/Cr I !i ___ <br />M1IETER �OX CONCRETE SMALL LP.RGE <br />/�:lCl -5.�'G.�' � �'C?�3'JU� � �—�-- <br />�C?�/ - �� •, ,i JUL�, �.�7/n I <br />�I -� C' ^.�I 1. F ' I <br />�r i� .i^Y'� — L'G G�^Gf12�,� „ tr�� I _ <br />i'7c�—SxBX//o c''.»zG, :C/iP1.�.✓ � �4�. �,��48 _ __ � _ _ _ <. <br />/� ❑ �N <br />C1ATE INSThLLED://J!�,'�/I��%a'.� � OFF <br />cooe � ! L��OR ANO EOUIPldENf R[NTAL <br />I . i.. i <br />REMARKS: �- ��f'_,CGCi <br />ii /�7. _ ( ., i � <br />— ' <br />AMOUNT <br />SUB TOTAL ,�Jj{u j 'O <br />I HOUf1S RATE <br />— I `'I I <br />I <br />__.—/I —�1/%, I.� <br />TOTAL <br />