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NOP�. r 9�. s� <br />/ 9�.i / <br />pi FIXED <br />1'jl <br />� DEP091T s l'� S �O <br />SERVICE.(51r ADDnp�)_�� / <br />APPLICATION FOR SERVICE SERVICE N� 6 ��4 <br />ORDE <br />CI7Y OF EVERETT WATER DEPT. Cq�T <br />DAT 19`_ <br />W.O. �_ <br />I No. --.— <br />V ' �� ` ���t'�� BLK. LOT ADD.—_��— <br />1 <br />G(,f.v _CONTRACTOR��LC.4-`' O.I � �_�/t�% <br />,o " ' �/e,L ��l <br />�7 ' rrt'� ' J '� �� y <br />INSTAL� �� METERED SERVIC� <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORD�NCE WI7H iHE <br />ORDINANCES RND POLICIES OF THE WATER DEPANTMEN7 NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTER CHANGEO. s�crae�: _ <br />MATEHIALB li IN. I IN. � 2 IN. <br />PIPE COPPER -- GALV. -- STEEL / � �_ <br />I <br />'CORPORATION� � I <br />CURB COCK OT I <br />SERVICE BOX PLASTI�: -- C 1 I <br />METER— VALV � <br />METER No. (�J � � —Lf�%tiCy'Q�OTYPE: ��a� I � � / <br />METER BOX�� JCONCRETE� �SMALL7 LARGE � I <br />� GN <br />DATE INSTALLED: Q� . Z � _ i c/ 1-1 OFF <br />7 (T �( <br />CODE � LA9OR RND EOUIPMEVT flENTAL <br />--�i �� � <br />-="-� --- <br />PpICE�j AMOUNT <br />�_. <br />SUB TOTAL �.,� C'� <br />-,LL � . <br />I HOUF6 NATE <br />_ I_� 2�''� II 7 I(r.�� <br />��_- 'i.0��� � � /2 <br />-- -I li � <br />I i ?.SJI� � I�;D <br />-- --- --�----- <br />� <br />TOTAL <br />REMARKS: <br />—_ _ _ _ —_' <br />-- -- — _' _ ._'— __ —. —_ __. __— <br />T-'-- _ �`�'T -- - - - _ _ _ - _-- _ _ ----�=-- <br />