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qppL �Q 2 7J APPLICATION FOR SERVICE SERVICE j�° �'I !i <br />orsoEa <br />���Z ,�� GTY OF EVERETT WATER DEPT. �� 3 y <br />DATE. � .—iB�• r <br />� FIXED <br />J W. O. <br />� DEPOSIT Sl,t„ S� " No.— — - <br />SERVICE (oYADOR[ea)_��'� % v ` �'."' �� ---BLK._—LOT_-t.D�. <br />{_ '_ <br />r%�/'� ,�.�_ � ''�� �� _CONTRACTOR___ <br />O W NE R------- � --- <br />��%���� FLAT <br />IhSTALL%_--.�MGiiii�E'O SERVICE-_---�- - --- -- ---'--- <br />I IIEREOY AFPLY FOfl THe USE OF WATER IN ACCOROANCE WITH THE � '/ <br />ORDINFI�CES ANO POUCIES OF THE WATER DEPARTMENT KOW E%ISTING N/`�/ _ �/ �J G� <br />OR AS SAM'c MAY BE HEREAFTER LHANGED. slGr+eo: X��y�:'jCd= 1--�=.r1 "V �-- <br />MATERIALS �': �ri. I��N• I 21�• _I I I riact AMOUNT <br />PIPE __ C� Opf'cR--GALV. __7E_L __ _. I �-1J .��-'c�� <br />-1=1-=� ��-� � <br />CORPORATION <br />� CURB COCK �O'� <br />'SERVICE 60X PLASTIC �•• G I <br />_ � _'�__—'_ <br />METER VALVE <br />NETER No.— "- --'�-�' -�--TYPE: j 3A <br />METER BOX CONCRETE SMALI. LARGE <br />OATE INSTALLF.D:`/ � <br />7 <br />CCDE I I <br />- I / /1 <br />��L-�—_�_�—1 --- <br />I /����1_r�1��1/N �_� <br />--I <br />12EAtARKS: <br />)�<, 95'S'7 _ <br />I � ON <br />- �' OFF <br />LABOR ANO CQUIP'dENT RENTAL <br />/ <br />u <br />�' ��.... . . . . <br />!� <br />R7 <br />SU� TOTAL II �� ��� <br />Houas anrc � <br />� —�_—_'�_ -- �'�' . <br />� <br />� "_ —�i_. _—I —_._ <br />-�_._ _ '���' I '_. <br />II � <br />--- - — ------ ---- ----I – <br />