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'tirP�' � + � ✓ � APPLICATION FOR SERVICE SERVICE�_ � � 3 <br /> No. � <br /> /9�q� CITY OF EVERETT WATER DEPT. oRo� <br /> � FIXED DAT �^�- � /� ��� <br /> � DEPOSIT S__��'7�'n_O ` �_'- <br /> � No.—_—__- <br /> SERVI v � PES61����"��-/.�� n_� �.'�/ ���-�C�`C�/_ BLK. � LOT_ � -A.IDD.. }�/� <br /> N1tR W�-���.�- /,"//� � � � - -- �� '_/'-7� <br /> OW� _-_ __. G'L��n 7..v —CONTRACTOR/'C�C1�(,!-C�, L-X�"<'✓� <br /> / �� iF�r! '`�-_- _. . .�-"��_�7��� �r<c: <br /> INSTALL��f('i METERED SERVICE___-._________ _�:1�Q'".Q�� n .�.�pl✓ <br /> _1___._--"_'__ <br /> I HERE6Y APPLY FOR TIIE USE OF WATER IN ACCORDANCE WITH THE �,J <br /> ORDINANCES ANO POLICIES OF THE WATER OEPARTMENT NOW E%ISTING /� � /� l� <br /> OR AS SAME MAY [7� FEREAFTER CHANGEO. slcN � '���� tL%��C/ __�'K _ <br /> ___ �� <br /> _ MA'fERI>L6 I � � I r�H• �N. -I� - RICE IOONT <br /> P�F'E _ COPPER•-GALV.--STEEL __ I I I <br /> CORPORATION _ _ I II <br /> CURB COCK OT __ I I � I� <br /> SERVICF_ BOX PLASTIC •- C 1 I �li I <br /> METER VAWE__ fI <br /> METER No. . ____ _ TYPE: -_--'__.I • _ —I_—_'—�'_ � __��_. <br /> METER OOX CONCRETE _ SMALL LARG[ ' ___I r � I I <br /> ___� <br /> I <br /> � lCCL(J �I —� i�--I— <br /> I I�L�llY_t i _ <br /> - _y,- " __A���J - - <br /> D SX SX��>>>r�,�C'.i�� �i�..;- I ' 101� <br /> ' -� „ � � � <br /> , 1�3 <br /> � .� ,�, . , � � , - � -�� - - <br /> .,z���< � �/o! �,; ,n 3 9 <br /> i [ ��V V��,�l�iis�i� � � ON <br /> ATE INS LLED: (�� � I OFF �� SUB TOTA .� � <br /> v < <br /> CO�F I LABOR AND EqU1PMENTRENTRL J� I HOURS qATE <br /> I l� �TV � r. ! , '- � r�i MU -_ "_ I� --1_LS .�J <br /> � �: � .�c ,' - , , -r d.,,, , , , :�,, . � 77- ii1131�y <br /> I J JchUSc�J _ :i . : -__T_ _ 'i___—. <br /> — 1 � f. ri . i S,�vou; i - 3. v� . � I <br /> —`� —�---- — — <br /> ._.__�_�.``�1'1" rrl� iy �� ` �/��y �1 � fv�ili.iut 11' �.G �JI _-'__ � <br /> i j�� t7 u c^,..v s a �: ' .j ' !� ,�_3 . � Z.I N 1� �_�i��—�_ <br /> __ I l�< <. 7,�-�--i'=- '£ �f � '�� �' t ' i � 1"3 U�i --- i�,�S� <br /> -- , <br /> , <br /> - -- --- << <br /> - - --- - <br /> � ,,, � - � - ---' �_'_. <br /> =1 �R-_r t , ��_ � , - � � i���� „( '� �r : ,�� ,�� �� <br /> - TOTAL J <br /> HCM/+RKS: y � < / , J .. i� r� .. .f ' <br /> — -�ey_--_�'Sh-�--�' � -,� ,;�1��.-- -- -r��'t_o_____ �= •r <br /> _ _ �, .: � <br />