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Z <br /> � � <br /> i . -i <br /> APPL. �S��J� CITY OF EVERETT sertvicE �-', "� m <br />, No. � ORDER NO. . �. � <br /> APPLICATION FOR WATER SERVICE � /� � �,' " <br /> DA fi��� Z _IB� <br /> � FIXED � <br /> 6� W.O. -i T <br /> � DEPOSIT s QO � No. /�/�j� ,� � <br /> l . ����� �""r�", N m <br /> BERVICE 1er noo ns • J BLK._ LOT ADD.—��=¢j,3 C o <br /> � //-�� m o <br /> nWNE . �l ✓_ ' � _CONTRACTOR -- -I C <br /> // �r� o � <br /> m <br /> INSTAL METERED SERVICE---- - �1 � <br /> I HEREBY AI`�I.Y FOR THE USE OF WATER IN ACCOFDANCE WITH THE � m <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING "" <br /> OR AS SAM[ MAY BE HEFEAF7ER CHANGED, eicmeo: X J _._ •'� � <br /> c <br /> MATERIALS �' IN. 1 IN. � 2 IN. I PRICE • AMOUNT r = <br /> PIPE ��-•��-v9PP6A _.� y rrrc� /O _� � � N I <br /> � �� - T � <br /> CORPORATIOR' � � { <br /> T � <br /> UR COCK _ OT _ � _I_ _ -1 m <br /> I <br /> SERVICE BOX LASTIG •- C 1 _ � m N I <br /> O <br /> METER VALVE � � <br /> ------ ' - n m <br /> " -- __--__ --_ CN <br /> METER No. TYPE: _ I �5 _ __ __ _ _ m N �� <br /> METER BOX CONCRETE � SMALL LARGE z n <br /> _ ► � -� m <br /> ��so� �s -- -- �—i—,�--��-- _ � <br /> .E�1��-G Tii�t��)�f/r S _��,L_ _ I I_I-- --- D <br /> �� __7.�a �,-�� _/ —� I _ Z <br /> I � <br /> -- — -- - —{— --- � <br /> I ,_ _ � <br /> -- - ------— �- �� o <br /> �% ON <br /> � <br /> r �/ j�'� cl <br /> DA7E INSTALLED: �l �/�_ X � OFF SUB TOTAL �T <br /> e� V <br /> COOE � L��OR AHDEOUIPMENfRENTAL I HOUFS PATE <br /> -I, -�� , Ij 3 _ �i , <br /> . - -- �4{w �� --- <br /> '� -- ---,�//� _ I 3 �� -- <br /> ; �js 7l�-�_,�so�_i��� <br /> i -�-- � — <br /> — I ------- --� -- — <br /> TOTAL � <br /> REMARKS: <br /> 1 <br /> _� -- �J <br />