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`9J �S AePLICATION FOR SERVICE SERVICE N° P 4 4 <br /> APFL, OROER . <br /> • �"°' �/ ��, 3a CITY OF EVERETT WATER DEPT. GATE�_,� ��`��. j�19� <br /> p� FIXED ��, <br /> Pl W.O. <br /> � � DEPOSIT s OC' '' -- <br /> SERVICE (BVAODRE65)—/�`��� �4� ��'f � --BLK. ')�LOT_�Lrl-LADD._-- <br /> OWNER ��-` � �' � �'� S �lt I S�Cl CONTRACTOR_.-- <br /> 3/y '' FLAT _ _ <br /> IIvSTAL� <br /> I HERE6Y APPLY FOR TNE USE OF WATER IN ACCORDhNCE WI7H THE �}�,_ �� /1�� ; �i G <br /> ORDINANCES AND POLIGES OF THE WA7ER DEPARTMENT NOW Ea15TING sicNeo: X1L"1:1.�.-s`,�= �-`��� �������� <br /> OR AS SAME MAY PE HEHEAF7ER CHANGED. <br /> ?i IN. 1 IN. 2 IN. I PRIC[ AMOUNT <br /> MATERIAL9 I I <br /> _ �. __�-__ � �o <br /> PIPE . COP 'ER.�GAW.-STEEL �. ' _ <br /> CORPORATION �- I <br /> CUR6 COCK�� OT j /� _I —I---�� � <br /> SERVIC'c BOX PLASTIG ,-/G 1 � I __ �� <br /> _ — �/ � <br /> METER VAWE _ --- --- _�� �-- <br /> METER No. TYPE: I _ _ __ --- <br /> METER BO% CONCRETE SMALL LARGE _ _ I�I— <br /> —_ �__� _�_ _ ���—�— — <br /> '—i I <br /> —I _ —_ I_ <br /> I <br /> _ � '— — <br /> I � U i � <br /> DATE INSTALLED: /1 , �� , / � -' �VFF � ' <br /> SUB TC?AL / D� <br /> �-- �.,,1• : I <br /> CODE I <br /> LA90R /.ND EqU1PMENT'1E�ITAL - NOURS 1!ATE <br /> i � .�i�l S 7� � .� 3 <br /> II %. --_ — I —' I / i ` I <br /> — �_�__ 5 ���`li iPi r C <br /> � ' � '--- � I, <br /> i; <br /> ' ) _ � —� F , / -� � `' ---�— _��—'� 5 � <br /> f�_ �— — -- I� � �I�— <br /> — I TOT�I� �� <br /> _—__ �t I <br /> REMARI:S: � � � � � .-e• >',S� .,. . . . .. . . �f . __—_ —__-�^- <br /> / ' _�_.—_ ___ . _--_______ _____--� � <br />