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APPL.�I�'�� APPLICATION FOR SERVICE SERVICE (v° � 9 �.: � <br /> N�• ORDER <br /> CITY OF EVERETT WATER DEPT. ) 7u <br /> � FIXEO � DATE. !�d_- �_ ._ . _t!_ (�_ <br /> � UEPOSIT s ��S(/' OLl ^ <br /> W. O. <br /> _�_ : � , �-,�a�`� �, No. — - _ <br /> BERVICEIe/Y�wDonEBe)._�- �P71� , �__. .pLK. .__ ._, .L07/ -_. .�iy}t�. !!(_ <br /> / • y- p �y-� ��/�]���' �` 37-��/ Ba'i MNrL%J ,v, � <br /> OWNER._4'ILY___��_L-L���� /! -.���`fl. .l��LI.CONTRACTOR _-. .. _ . ___ _ . __ ' _ _ _.__ <br /> ., (� �t <br /> INSTALL�__.__METERED SERVICE_ _ _ _ _--_ __. . _ _ . _._. ___. ____ .. <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORD�NCE WITH TNE ���� O��/��' <br /> ORDINANCES AND POUCIES OF THE W�TER DEPARTMENT NGW E%ISTING ��� <br /> OR AS S�ME MAY BE MEREAFTEfl CN�NGED. eicr�eo: % . _ _ _ <br /> 1.1ATEqULB 1i IN.I 1 IH. I 2 IN. I PRICE AMDUNT <br /> --T_ . <br /> / I <br /> PIPE COPPER{GALV. -STEEL ....___ "___.�_ .-�.�'_ _. __.'_ ""I___ ___ I—_' <br /> CORPORATION � iI I <br /> _'-__—_.__ _ __—_ - -�__- _I'___ ____.____ <br /> CURB COCK _O7 ___ _ __ _ � I I i <br /> —'_- <br /> SERVICE BO% __ PLASTIC �- C I J I <br /> �r—� <br /> � ... __ --__.__ . " <br /> . -___ _ - _.. <br /> METER VALVE ._ G�t�j. ,�,C%�.S 5. I:�Ii.<' ' 7 . I <br /> -_--__.- . ___ _-.�?L __ . _._ _ __ __ . .. . .. <br /> METEIi No.�.�_��I _ TVPE:��� � I "_ ' "__ I <br /> '_'_ � /-. . _.-. ___ <br /> METER BOx CONCRETE ` SMALL LPRGE I <br /> __ ' _ �_'_-_ _ -___ _. _y�J_____' ____' _� - -_ ' . <br /> J .._,ai��� -- ---� -- <br /> /_��—/S�G3'�t�r• � %" . � '� _� _ � <br /> . , ( . . �� i I'.. _- _ .__-1 --� - <br /> —� �`��i•" �.C.� — I ` I <br /> . <br /> _—.���`�" _6l'�v_—si�C'f��s?_5----- � � - - <br /> -� -- - _ _ <br /> — --�=-�,3" _l�irt f__����..lz�s� -���-,f��- --� '�- - -J-- I � I <br /> ------ - -- -- ---------------- --J-- --�--- --�— �___ _ - -- �-- - - <br /> � ON <br /> DATE INSTALLED: /� ' {- :��/ I n �F� J /� � � SUD TOTAL <br /> 7 J. ,!J l'( C�f' <br /> GODE I L�BOp �NO EOUIPMEN�R[NT1L � MOl'Re p�Tf <br /> "___--I_ �� V ..1___—_--___--_ _ I�- <br /> . L[� � '7/I _ — _- __ _ —_ _ r— —_. <br /> � � _' _ — _�� -;I � <br /> - - � -� � — -- <br /> —� ;�.. <br /> � - - <br /> ----t��C/CP /7_ C � >. � _, , ' <br /> - ---- --_ �,, <br /> - -. _ . .. � . . _ _ _ .. . . . r_ . + �i� .. -1,,, . -. -- ' . <br /> ,� —� <br /> _ I - _ F — ,f 'A- .�-- L—. <br /> "r_�:TOTAL �� � . <br /> FEi`AARI:S: �' � �. ��r i , . . . � . . J�i. . .� _ . �� ��R�� <br />