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SERVICE <br /> ^PPL.� ��p / CITV OF EVERETT OR�ER NO. <br /> no. qppLICATION FOR W�aTER SERVICE .e <br /> onre_�-�6-- iei,) <br /> FIXED y,�,p, <br /> � �1 i' No._- __ -. _. __ . . . _. . . <br /> � DEPO5IT S pc3S ___ � y.�7G✓� ��//�� ��/ <br /> SERVICE 1BY �DDXEB61 <br /> -�C)l� -._i'/-!�'�"-e ,'—_.!�"� ALK._��-OTI_3 - AOv.fc.�"r--i -�ff,�+ <br /> ! __ /__--__ <br /> _�'_. ._ _ 4•e_ _.r__.--_CONTRACTOR._— ___ - --_-_-_ <br /> OWNER - - � � � __ ____ _. - -__ . <br /> I L ---" <br /> INSTAL�SL— ETERED SERVIGE--- - - <br /> I HENEBY APPLY FOR THE 115E OF WATER IN ACCORDAHCE WITH THE �� � � <br /> OROINANCES AND POLIQES OF THE WATER DEPAHTMENT NOW E%ISTING /�ti..�i✓.?�C-� - <br /> BIGNEO: % L�--d=-'�—f� <br /> OR AS SAME MAY BE HEREAF7ER CHANGED - �q � �Mour:1 <br /> ��N I IN 2 IN I ��E I . <br /> � MATERIAl6 <br /> G' I <br /> FIPE t� nG ____ . COPPER--GALV...STEEL _I-� �{—� <br /> � <br /> CORPORATION _ __ ___ __ _ _ - � I I— - <br /> _GURB COCK _ _CT _ ----�--- I - — <br /> SER�ICE BOX PLASTIC - C I - <br /> _"-_ <br /> METER VALVE ._-.. __ - - -- --�—�" --- �— � -� _ -- <br /> TYPE: '.S _. —.- <br /> METER No. ------ ---- - - - - I . <br /> --�- SMALL LARGE I I - - - - - �--- ' <br /> METFR BO% CONCRETE ._._'___'___. __' � / ' �---�i-- <br /> .._ ___�--x__6_-.f'OV.�.h GS�O�._-_-_-_'-_ ._ :� i I - <br /> . I <br /> _.�'_.�rr071 ._ _ _ __—_—_ _. __,I._ _ .—I �� _. � _ __— — — <br /> I—�--- <br /> - - � - - - -N_ _� __ �� �j I <br /> i o o•�:°�c-°�.D�Iqa �( —s�`°-a-1. — I -I �_ — - _ <br /> -- — - — -- ------ — �I � II I <br /> � <br /> I �i �N SUB TOTAL <br /> ry_�_ �� � OFF <br /> DATE INSTALLED: �J HOUPS PATE <br /> I LA�OR AND EOUIPMENfRENTAL � <br /> COOE <br /> � �M T —_ <br /> (// i <br /> --II __ - .�i J��A/ —� s-r,— --- _ _ <br /> —� � �.,.2 �/ _ - __�_"-- -- - <br /> - - - -99��/�r ,�:� �� -',�-- -_- - -_ <br /> -- - _ _ _ -- � 3 �z -� - - - <br /> TOTAL <br /> REMARKS: . .__—__-_ . .__ . _ _ _._ _____ __ _- _. <br />