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aPP�.-` 9�' g/ APPLICATIQN FOR SERVICE SEftVICE \�° � Z 4 <br />����� CITY OF EVERETT WlaTER DEPT. ��� //�s� �� � <br />� FI:CED �A7E� � � _ 7 -19� <br />� /n � yF_' <br />f/� <br />� DEPO5IT g � . \ N � _ __ _ <br />. � ___ _ - �/�• _- <br />SERVICEIova cse> _ -��/�'/�JJ�_ �� � ^�—_BLK.—._LOL�._AOD. _-._ <br />OWNER �_ _L'SzC ��:__ _S>.! __Vs�fi.Q/-_-__.—CONTRACTOR-__' _---- __ <br />/ FLAT// <br />INSTAL�/--MGTPNL`9 SERYICE ___-.- __ ..-. / J� <br />I HEPEBY APPLY FOfl THE USE OF WATER IN ACCOROANLE WITH THE � ,�% �� //_ � <br />ORDINANCES AND POLICIES OF TffE WATER DEPi1PTMENT NOW EXISTING i{ ��/� <br />OR AS SAME MAY BE HEREAFTER CHAt;GED. oicueo:X_.-_ Q- /•C- <br />l___--__ <br />NATCRIALS I�� ���� I��N� I��N. I I � FRI E f.MLUNT <br />PIPE `COPP@R�-GALV.--STEEL _..� I <br />COPPORATION � _ 3 ,""� � � I, I <br />CURO_GOCK IOT) � I I <br />SERVICE �OX <br />METER VALVE <br />METER No. <br />METER BO% <br />-- C I <br />'-- � TVPE: I tp <br />CONCRETE � SMALL LARGE <br />c TL -�-.� <br />� ON <br />DATE IN57ALLE0:/1 �� ,' / O_OFF , --` <br />COOE � LA60R AHO COUIPMENT RENTAL <br />_�:A�.�..lfr _ -_ -.- <br />�--- — ----- <br />r <br />REh1ARK5: <br />1= _.�_�� <br />I ' 31/ 55 <br />SUO TOTAL /� <br />H[�VRS PATE <br />� � __ <br />II�— — � II��-- <br />li <br />��� ��,,_ <br />TOTAL I� 3� ��� <br />1-{ <br />-_' ___ -__'-__--___._ __--_ _ <br />_ .. _ . .__ _ � _ <br />