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i <br />I APP . q <br />� No, � I 8 � <br />APPLICATIQN FOR SERVICE BERVICE �� 1725 <br />ORDER <br />CITY OF EVERETT WATER DEIP7. <br />naTe_ �' ' � __te73 <br />FIXED <br />� DEP09IT g I� 1 Z�. � b pWj' O. __ <br />SERVICE (BY ADOREB!) I� JG _��� d�J BLK..4� N�L LOT ADP._ ._—._ <br />OWNER�1T�� �%G �J �-'�' 2"P -- GONTRACTOR__��S ���-�N�S.-� � �"�_- <br />/ � I�MF'- <br />INSTAI_� 3 —METERED SERVICE-- -- <br />i <br />I HEREf1Y APPLY FOR THE USE OF WATER IN ACCOPD'nNCE WITH THE � ' � <br />ORDIN�NCES ANO POLICIES OF THE WATER DEPAFTMENT NOW EXIS'iING -'�/ �C��� /�C-�/�'=� <br />OR AS SAME MAY BE HEflEAFTER CHAN+ED, eicrvco:X..•— <br />�'_ —_ - <br />MATEFIAL9 I'M IN. i 1 IN. � 2 IN. I I I I PPICE �I AMOUNT <br />� PIPE _ <br />� COF'.PORATION <br />RD i;OCK <br />�---- <br />� SERVICE 60X- <br />� M�TER VALvE <br />r--- t� <br />� METER No. J- <br />� METER BOX <br />� <br />r— <br />I __- <br />I <br />I <br />I <br />�_ __ <br />COPPER -- GALV. •- S7EEL <br />OT _ <br />PLASTIC -- C I <br />CONCRETE <br />DATE INSTALLED: <br />CODE � <br />2„ <br />TYPE: ,/ __I b6 <br />SMALL LARGE <br />I � ON <br />�� OFF <br />LABOq ANO [OUIPMEN'fR[NTAL <br />SUB TOTAL <br />I NOURS I RATE <br />TOTAL <br />I REh1ARK5: <br />� ---� J - - Q - - ------- -- --- <br />