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P��'F'L. �19 / Y v� APPLICATION FOR SERVICE SERVICEj�� �Jy <br />No. G ORDER <br />/% f,� �• CITY OF EVERETT WATER DEPT. �� ��� <br />� FIXED DATE.____� _�g� <br />� DEPOSIT 5� G�C- �� W � <br />— No.____ _' <br />SERVICE (9Y AD�RE651 � ��� � _�' �Y /��! ( . _� �� �f � pLK.___LOT /T 7 ADD. ___ <br />OWNER C�li��I C^_�_—�_.� p tl—_'.—_ <br />CONTRACTOH <br />' �[�( �. f'tM-f <br />INSTAL�a_METERED SERVICE— ______ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE W!TH THE � � <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING ��' f �/ � / <br />OR AS SAME MAY 6E HEREAFTER CHANGED. � /� <br />Sicrveo: X— ' _a/�-,.: `%YP_[�_____— _ <br />R...TLRIPLCi I i IN.I 1 �N. I� IN. I I I I PRIC[ �I AM1IOUNT <br />PIPE <br />CO.^PORATION <br />CURB COCK <br />SERVICE 60X <br />�dETER VALVE <br />METER No. ��� <br />METER �OX <br />COPPER-.GPLV.--STEEL <br />_ — — — --__._. J <br />OT � <br />PLASTIC -. C I I <br />— _'— / <br />—_�70 S�' TYP_"Qr� Cdfn�l -I /.l� _ <br />_�.! � _�.i.L— t Ly <br />:ONCRET MAI_ LARGE � <br />�—�r �� —_ <br />_ �r���.5-G�s / � <br />�,L..., � 9�1�� / �I <br />� ON <br />DATE INSTALLED: / " � -z "" G % CFF <br />] <br />COOE I LqBOP ANO EQU�PMENT flENTAL <br />I <br />� ���Z� ��� <br />' <br />n y -- <br />( I J_� I �_ ---L� <br />, <br />SUB TOTAL <br />NOURS I IiATE <br />� „ <br />�5I/� <br />9 <br />I' I <br />-_1 _____ <br />��1�_ �� _ <br />�_�I�_ �C i5° - <br />TOTAI <br />FFMAR ' �' <br />n5: ,� � <br />, . 1 , r <br />�r.r'u_ i: �� <br />__--_ ._�_"___._.___ <br />/ . ' . ___.. _..__. .. _ _. -._ .. .__ . _-.._._._ . _ <br />