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. <br /> � <br /> � APPL• ��7� APPLICATION FOR SERVICE SERVICE No 241 � <br /> No. OR�ER <br /> CITY OF EVERETT WATER DEPT. <br /> . �FIXED ��J t�J DATE—/�L_____�B'� <br /> , � DEP09IT S W.O. <br /> — No.—'_.___ <br /> ' ���� ��1,Q, �� n /'r� /������ /��� <br /> SERVICE cerwooa[cs�_ _ ���BLK.___LOL"��_ADD.C���=_�+xL <br /> =f.7�b''/ <br /> � OWNER • �_��-�.� ______CONTRACTOR_______ <br /> I-,r� ��� <br /> ' INSTALL 3JC�L�METERED SERVICE , <br /> � I HEREBY APPLS'�FOR THE USE OF WATER IN ACLORDANCE WITH THE <br /> I ORDINANCES AND POUCIES OF THE WATER DEPARTMENT NOW E%ISTING (��--/�`�/l��� ����� — <br /> OR AS SAME MAY BE HEPEAFTER CHANGED. SIGH[o: X 7_ __'_ _ _ —\ <br /> MMEHIAL9 ?� IIL 1 IN. i 2 IN. I I -P� AMOUNT <br /> � PIPE COPPER-- GALV.--STEEL_ IG� I I I <br /> �I CO�RPORATION � � �, � I <br /> 4�CUR� B C6CK�—__�T —_—_—.—_ _� _I _�—' �J —'_ — <br /> �—— I <br /> , SERVICE BOX PLASTIC -- C I _ � I I <br /> I METER VALVE <br /> � METER No. —. � ._. _TYPE: _ ' ___ -I —iF — _— ___ ' _ _ ' . <br /> � METER BOX CONCRETE ___ SMALL L,�RGE � <br /> i _I—' �"__ —_ _— <br /> I — —_ _—_ _ I _'�—.—____ — <br /> � G'Q����-Go!�1yJ1_y,_-_ ---� —� -- -- <br /> � <br /> � �'.-�.z_�_1-J_`a�/�---- - � I - -- - <br /> � —�----,- --- — - <br /> � � i � <br /> i __ __- ----- I--- r—'I - —.--I-- - <br /> r.Y °" <br /> � DATE INSTALLEO: �)_ 7,f - / /� I L� OFF SUB TOTAL <br /> L <br /> � C, OOE I LAUOR ANp FOUIPMCN l RCNTAI -_� HOURS RqT[ <br /> �I <br /> � I <br /> � - _-_-_.__. -- _ ___ <br /> _..._ -___ _ __-_--_- � <br /> r—I -- -------__I���-- – -----–� �G – — <br /> �--- � �,(i --_—��Pf'L�L�-��-----�0— - - -- - <br /> I � -� - _ _ _T�/ _" l / ---�/D - - --- -- -- <br /> j � � —�� ; -� -, � 9 <br /> — � �- — -- — -'--_ _ _ — <br /> -�-- - - - - - - - -- - -- - _ fl =� `r '. _ _ I. _1 - - - -- <br /> i- � I <br /> � TOT <br /> � REMARKS: <br /> �—__._ _.____ _ — _ __ —__ _ . . . <br /> 7 <br />