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APPi-• , �' q �O At'PLICATION FOR SERVICE SERVICE {v° 'I .Gi 9 <br /> ORDER <br /> "°. CITY OF EVERETT WATER DfPT. ���,,,J �� ��� <br /> /�/�./7� DAT <br /> ibl, FIXED � � <br /> ,yi W. O. <br /> � DEPO5IT �DO. \ _ No. <br /> 3/ / 7)�G C/ ' �_�'U�BLIC. LOT-�-f-ADD. T�+1 <br /> SERVICE (Cv ; Dness)__� I�t� ' �t���� � 7' d.l �'. _ /L.-_ <br /> .�� ��1�-��f'� ��� _�_ n� �---�.--�L,��-,-•.�--�� <br /> OWNER � _ --CONTRACT <br /> FLAT <br /> INSTALL--� ��•,c•• SGRVICE__.- __ _--_- ---_-- . <br /> I HEREBY APPLY FOR 7HE USE OF WA7ER IN ACCOROANCE WITH THE �� �/j <br /> ORDINANCES AND PO4CIE5 OF THE WATER DEPARTMENT ❑OW E%ISTING J yy /1 / __C���1 <br /> SIGI�'E�: X /__�r/_�tJ—'—��� . --_�--_ <br /> OR RS SAME MAY BE HEREAF7ER CHANGED i <br /> ?i ItL� 1 IN. � 2 IN. I � PRICC AMOUNT <br /> 1/1TER1.1L5 —��' <br /> • � • 5;j / I r/o <br /> PIPE ��COPPEF %GALV.--STEEL _ _ � ___�_I�� �I � <br /> c" <br /> �� <br /> CORPORAT'ION � I �- �II rAi[ /_ <br /> OT _ I �7� <br /> CUR� COCK� / I �I�� <br /> J <br /> SERVICE BOX PLASTIC - C � - - -- - I � <br /> METER VAWE_ ___ __ __ _ I - <br /> TYPE+ `�A -��-' <br /> METER No. ...__.- -__-__-_-_ --_ -�- -._-- <br /> SMALL LAFGE � _- � <br /> METER 60X CONCRETE - ' /I 2� <br /> .J <br /> (:� f„i�— � 513b <br /> �-, :�;;� � � . _ �_, : .� . � ,_—�—J_ ��,_. <br /> � <br /> —I —�— <br /> -- I <br /> _ I ��--�— <br /> I � °" 33 �� <br /> �'OFF SUB TOTAL <br /> DATE IN5T.4LLED:� ,j � ❑ �(J' ..�,A� <br /> �- NOURS �A1E <br /> CODE � LABC1q ANO EQUIPM1ICNT RENTAL ' <br /> � I �< <br /> 1 y ' � '� I . � � <br /> __-'___-�_ __-- I I _-'_ <br /> I (.- .�I�� r_� <br /> '_ I �-_ - I� I __' <br /> . �� _ _ � � �r — <br /> \ 9 � � �� i�I . � • . <br /> ._-- �{ ).�_ I C� �� , ,._�.� ---�— '.---- <br /> _i�.�-- - _ ' �� , � <br /> y, �� , r � ^ - - -- ---- — �. <br /> . <br /> � I �� I <br /> , �._ I <br /> = - � -- - . � <br /> --�I�-�-------- ---- � a <br /> �_ I TOTAL I p I I JI <br /> RENARI<5: : . � � . ._�- . .__.__._ . . _�.-._-__. <br />