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APPL. - . . /_� ,�.! SERVICE <br /> Ho. -��t�(t /, ' CITY OF EVERETT oRoeR <br /> � ' APPUCATIUN FOR WATER SERVICE N�/� �� Q d3,� <br /> � FIXED DATE—__1Ey- L-1C ��' <br /> , ,.ni� <br /> _ <br /> . � DEPOSIT f .� W.O. ' '.� � <br /> No.___ <br /> SERVICE �ev�ooq�:or)1�Yr � -\`/I--L�'l�L.� BLN..—__LOT-L.r��=—ADD.�♦� ,�rl�L.��` <br /> OWNER�.., ._ _—_—GON7RACTOR_ —__ ._ <br /> 3 �� _�r <br /> INSTALL.��METEREDSERVICE___. _ - —_._—_ __ ____—_____ —___ <br /> I HEflEBY APFLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ^ � �q <br /> OFDINANCES AND POLIQES OF THE WATER DEPARTMENT NOW EXISTING '/-7 lU� C��___ _ <br /> OR �5 SAME M�Y BE NEREAFTER CNANGED. e�eneo: �� ��(/ . — _— <br /> MATERIALS 1G IN. 1 IN. � 2 IN. � PqICE AMOUNT <br /> PIPE �Uf-�T��_—__ _—_ —__ '__—_ �/ I__I—' _ <br /> CORPORATION __ _ I ��I_I_ � . <br /> CURB COCK �i� I I <br /> RVICE BO% PLASTIC C 1_ I �_ � <br /> METER VALVE I <br /> '."__'___. '_ . . _. __ _ _.____. —_ I __— _ ' _.— — <br /> METER No. TYPE: I �4 I <br /> —. _'__`_ _ —_. _ _..._'__ _ __- -'__ ___J_ '—_' ' <br /> METER BOJC CUNCRETE SMAI_L LARGE <br /> =k��7�-_ ---- --- — —�/ `� � I -- -� - — <br /> ��/?SJ�SLT."�=E _L�1/_T�` _� i-- -- <br /> �_f-l�'�'-"�/6�5�O r�1O � � - -- - - <br /> - - - - --- - - -- - -� -- - <br /> I <br /> ------ -- ---- - �-,-- -�� - <br /> DATE INSTALLEG ``���7 � g 7 I � pFF � � / U / SUB TOTAL <br /> ��•� iC� <br /> COOE � J L�BOP ANDEpUIPMENfPENTAL �'� HOOP� R�TE <br /> li I <br /> I � - _ �C�'-_f! _ _ <br /> � � �-�-- ----'�'��---�— '� -- — <br /> ' ------- `����—�— -- — <br /> -- I � - — <br /> i <br /> � --- -- — --�-- __ -- -- � <br /> I <br /> TOTAL I <br /> RFMARKS: <br />:�iw <br /> 4°d <br />