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Af P.L. - .� �e� '� APPLICATI.ON FOR SERVICE SERVICE N� 3 E � <br /> IJo. OR <br /> ,(��G,,� CITY OF EVERETT WATER DEPT. w���J�� �l <br /> � FIXED � —�� <br /> � DEPOSIT ���•�� � - <br /> -� / q�� No._ <br /> ��`J.L��•'S 3J � ' <br /> SERVICE �ev DPE6f3)_ �/ -� 6LK. LOT NDD. <br /> OWNER �e� '�C'==� ---CONTRACT��� ��m-2�� <br /> / / .F{µ�.{�- <br /> INSTALLL�—METERED SERVICE_— --- — - <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOfiDANCE WITH THE . / • L�. � 0 <br /> ORDASASAME MAY 6ELIHEREAFTER CHqry�ER�OEPARTMENT NOW EXISTING 6�GUEo: %.��E��(.G'�C�!1^'�— � �=C'✓"� <br /> GATCRIALS �i IN. 1 IN. � 2 IN. I-I PflICE AMOUNT <br /> l�_^ �7 <br /> PIPE COPPER•- GALV.•-STEEL _ '%', ' _L__) � , S7 , •���I� /� <br /> CORPORATION I I I <br /> CURB COCK OT I I <br /> SERVICE BOX PLAST!C -• C I I <br /> METER VALVE I � � <br /> METER No. - '�)"'� .'i;. /r TYPE: .>[.r I ' .�/ � — ____— ��_ <br /> METER BOX �-CONCRETE. � SM93<L LARGE _L _ �D <br /> r'� - I 71�8 <br /> -- ;,' � ; _� — I93 <br /> ,, .. _ I — — �S `' <br /> , —�� <br /> �_��� <br /> � I �� <br /> � ON <br /> DATE INSTALLED: _ , - � �OFF �; � SUO TOTAL �/ �/, <br /> CO�E I LABOR ANO EOUIPMEN�RENTAL � YOURs_ nATE <br /> ' __ � 1 � �I ,� <br /> - - - --- --� II I <br /> — ._i — , _ , ` rI ' I`�° . <br /> '�-�, „ I� 3��� l I c;' <br /> i 'J ' - � �/), cj - -- i � - ---�� = 1:- _ <br /> --� - — <br /> �— �. � � �li <br /> --�'I�---- -- - ------ ----I=— ��� <br /> TOTAL , ��� <br /> REMAftKS: ' � <br /> — _— _—' � <br /> T�>>�- _ - - --- ---------%--� - <br /> i <br />