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2/l� 7z� ' <br /> NOPL C,� ��Z ZJ AfPLICATION POR SERVICE SERVICE N� Zq%Q <br /> OFtDER <br /> CITY Of EVERETT WATER DEPT. <br /> DATE�.�1.L__1 B��_ <br /> �FI%ED <br /> /� /� i W. O. <br /> � DEI'OSITf L-]Ji_ No. __--- <br /> (� w /� � � (� PCJ�-T�Ca: r��-y.�� <br /> ��1�4- ��> I.�CY�- J �____BLI!—'—LOT_��AD�"�_"ERR.C�' <br /> � SERVIGE tev nooaess)— --- ���'�. ►L� <br /> � OWNEHe���y_1-��� -t'��'A-��� --'---CONTRACTOR.— - - -�' ----' <br /> I IN EREBY APiLY FOR ME ERED�V�N ACCORDANCE WITH THE �����/�_ � <br /> I OH AS SAME MAY BELIMEHEAFTEF C ANGEO DEPAfiTMlNT NOW E%ISTING SIGNED: Y. _B/��Y"—`--,��n�� __ <br /> � MATERIALS �S IN.( 1 IN. � 2 IN. I PRIGE AMOUNT <br /> I <br /> � p!pE __ COPPER- GALV.•-STEEL _IZD� I _ <br /> � CORPORATION _ __ __ _ ��—I - � <br /> CURBI CpGI( —OT __�_� -- -- <br /> I SERVICE BOX PLA!'TIC -• C I _ I _ _ _ _ —. <br /> � METER VALYE � -- ----' <br /> � ME.1'ER No. S _____._ __ '-- TYPE:�j�'L�OX I ��-- � — -_I --' -- ___ _. <br /> ___ _ ___ _ <br /> _`I 11- - � -- <br /> � ETER BO%` ONCRETE __ SMAL _ARGL" —I_'__ __,__ <br /> � ----� I j _ -- <br /> �-- „ - —-- —�� �— — <br /> ,_____.��A�TE '1��t�lA_�Il-Fi-- - I — <br /> I --- <br /> �--�-5'.SRDTcPcin'- si_ .5'TucHL— —�— — —� — - - <br /> � — . -- <br /> � ..?�c. �_eu��l_.<t�ix,___S�o��; --I - �� �i ---- <br /> � j � I <br /> rvt ON <br /> n� SUB TOTAL <br /> I �ATE INSTALLEO: y�,_, •� '� � � OFF <br /> i `. S 'G� 1.A00R AN�EOUIPMENT RLNTAL NOURS NATE <br /> �OpE I <br /> ' I - <br /> �_.-- _..- -.---_- __-_ _ " . . ___ -_ _ <br /> I �c� � 7 --- -- --- <br /> �-��--- -- � <br /> -- ---- <br /> -- <br /> -• ' l''fr'-�' _'�--- - - <br /> =7 , �-`� <br /> I � - - Y �=-� � � L/- . —IZ- - - — - <br /> I I -- — ;!(3_�'�__ i�- - - -- -- <br /> � � ----�l�3��" .-�-,� - - -- -- -- <br /> - --- — <br /> �-------- I <br /> i— I TOTAL <br /> I <br /> i REMARKS: i- ,, : r . . ._ . _.__--_. <br /> __-- _ _-_—._ <br />