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ijppL. � 9 ��i� APPLICATION FOR SERVICE SERVIC�� 2 6 4 <br /> ORDE � <br /> j�jJ;rf CITY JI' EVER�TT WATER GEPT. ;- � � /� <br /> rj(Fixeo �— Q <br /> / <br /> � DEPOSIT s ��Q. � / ryp�-- _ <br /> �, _���� �� ' � <br /> SERVICE (BV�DRE 1— �OI ''d � r�_OLK. LOT-1L._ADD.— <br /> ` � CZ-F-rI� <br /> OWNER� -� - -CONTRACTOR__ _—_-- <br /> /4 T�F <br /> INSTALLI�.—METERED SERVICE----- --- � -- <br /> 1 HEFEBY APPLY FOF THE USE OF WATLR IN ACCORDANCE WITH THE � / ' <br /> OflUINANCES ANO POLIGES OF THE WATER DEPARTMENT NJW E%ISTING �--� �//A ) <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sl���co: X— � -��������-- <br /> MATERIALS �i IN. 1 �N. I 1 IN. � I I PAIC[ A1.IOUNT <br /> PIPE COPPER--GALV.•-STEEL _� ��I___ � _� 3�t� <br /> CORPORATION � I II �I� <br /> CURB COCK OT I I� <br /> SERVICE BOX PLASTIC -- C I I III_� <br /> METER VAWE _ �__ __— __— I_ ._!- <br /> METER No. fn��,Sis ^��11$ rvPe: �-(� er I �� _ � __ __ � �� <br /> t� �- � ����� <br /> METER 90X ONCR� SM. L ' LARGE 1 _ I <br /> f /K i.. � � � - _I �I��� <br /> —t7 I i <br /> —� _�— _ I <br /> I I_ <br /> — - ' -�I� �' �_ <br /> ° °" /38 �/ <br /> DATE INSTALLEO: � �'1 �� � � � I OFF SUB TOTAL <br /> i <br /> COOE I LROOfi AN�EOl11PMENT PENTAL XOURB RATH <br /> I K,.:,,� � �1;_2., 7 <br /> 4 .�I <br /> i _ �__ I I <br /> —� _ �`�.�-� ;_� _ ; z" -11 �1 I �� i <br /> _ J-- _� _ I i <br /> � —���A�YI'Z" �1'-i . 1 i ��.� _�_'�—_ _ �,�; ��' I�'�_ J I � �-� <br /> -- � � I <br /> �'� <br /> --- I <br /> — i — —_- _-_ TOTA � IC�iT I��O <br /> FEMARKS: _ _ __ `� <br /> -- _ _' � <br /> Ti�_�i�� __ __ ------ -- -------�- <br />