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.���� - APPCICATION FOR SERVICE SERVICE N� 1 2 5 2 <br /> p`PPL• ORDER � <br /> "�`-, .�> ,i: CfTY OF EVERETT WAT4R DEPT. � 1�� / -��8�; <br /> OATE'�� <br /> � FIXED <br /> .�. W.O. <br /> � DEPOSIT 5 � �� '� = No. — <br /> SERVICE cer�oorsesst �� �Z�/ --F1LK. LOT--�+�D. � <br /> ����%�„<N fl=,- ;,;.�'._�- <br /> OWNER —CONTRACT / <br /> _� � �'�`"_ — <br /> IN5TAI L METERED SERVICE_ <br /> I HEREBY APPLY FOR THE USE OF W4TER IN ACLORDANCE \YITH THE /' ` <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED:X / ��1'L '� — <br /> Ofl AS ShME MA� BE HEREAFTER CHARGED. -j�E�G'''f i <br /> IdATERIALS Ri IN.� 1 IN. � S IN. i � PFICE AMOJNT <br /> PIPE _, OPPE •GALV.••STEEL �I � _f // .._�I`� / <br /> CORPORATION <br /> ia�c � � ��-��� <br /> Cl1RB GOCK OT I �� I— <br /> SERVICE BOX PLPSTIC •- C I I _ _ II I <br /> fi�i__ TE� R�,VP.LVE � _-- — + ,� <br /> o --- � �IG�_ -���� <br /> METER NO.i�O� � ��� TYP�� ��.�/c/ — — /y <br /> METER 60X CON_C�.T£��,�� MALL LHRGE I __ I�LI'� <br /> �_� _ _ � /�_ <br /> — "_— I I _ �� � <br /> — I <br /> -- - j �-- -� �- <br /> - - �_ I- <br /> - I I i � <br /> — ON / ,� <br /> DATE INSTALLED: � .� / _ — � I �`OFF ��j'� SUB TOTAL 5 <br /> ��---�= Houas RATE <br /> GODE I L�60R INO Ei7UIPMENT REtITAL I <br /> �I � --- ---- — — — _��—� J ���-'��i -�'-. <br /> i/•,.. > _ . I�.�- �I�i �"% - <br /> - , I I'� � - <br /> j �i I <br /> —_�� � � "l .. II . "' I <br /> � 7 <br /> I �--____ —_--.—_ "_ ___�___ _�I— —_ <br /> I _— I I <br /> l;J TOTAL � ��I� <br /> i_- <br /> REIdARKS: l_���,u.�G��=..__L�<c•���!���._—____--_— _—_. <br /> � �. <br /> ��' . o/�� . . . - .. _. <br /> -�__— . _ _..___--___ _. . . . . . . . .. __ . _—._ <br /> ..___ _ - __ -_ -__--__—__ �.- <br />