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No� ��✓� / <br />APPLICATION FOR SERVICE SERVICE N� ZQ36 <br />ORtlER � <br />CITY OF EVERETT WATER DEPT. ^7 <br />�FIXED DATE_�2/ --19 �� <br />� DEPOSIT �� � W� �� <br />No._ _ __ _. . _ _. —__ <br />�J'�—��/�I1 � � � ,� U �G7c'/=: /�T1iS <br />SERVICE (BY ADORE88)— � `�='v __. �`IGC�� _ BLK._`� LOT�'S��G'.ADD�C��ihlk, � �aGfC. <br />���F'L'C.v.��(J � i,E'c'•t� iq 4 Jit�zxr�"ii,i,s. <br />OWNER � � __.—. _CONTRACTOR__ ______ _ _ _ _ .__. _ <br />•� <br />INSTAU �' ME- T�ERE� SERVICE----.__—_ __. <br />� 1 HEREBY APPLY FOR THE USE OF WATFR IN ACCORDANCE WITH THE \ <br />� OR�INANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTEN CNANGED. s�r,N[o:X�'_\�� _. __ <br />I MATERULS 4i IN. I 1 IN. I��N PRICE � AMOUNT <br />� PIPE _ COPPER - GALV. - STEEL _ I IS�/�L, I� I I I� <br />I C�RPORATION ' <br />� CURB COCK OT <br />� <br />SERV�CE 90X PLASTIC -- C I _ <br />I METER VAWE _ �� <br />—� --_ <br />1 METER IYo. 3� �j �e TVPE: EiN�irP I_`4 <br />t— rt.°��g 1G:Yov_ --- �� <br />I METER BOX CONCRETE __SMALL �LARGE.� <br />j�Z�(�- �1s -- — <br />� ,' �1✓ C�'u 1� �- _- -- <br />I d, � ��_ �.��iA ��� <br />r— ? ��'ra���'U�_l2uTy _EP, /�' -.c�`/'f'ic --- <br />i _a ���.�„ _����! •�� <br />I i-� �� A fr � �AI�� AJ.� L�i!/P I <br />P � CN <br />I DATE INSTALLED:� � I � OFF <br />�— "3'JJ' <br />CODEI I LADORANOEOUIPMENfRtNTPL <br />I��'� ��" � — <br />� ��i:'=L'.�6LlLC�' _ �C,(�,�?�l <br />� -���/,�C:,C_-�� � — �1 - - <br />II_L.Y�'L—LLc��_. � � �J. —.. . __ <br />I���' I—�� _ . _�_._ <br />�_ �.�7��X 3�Si�� Nr.'X �c��UIF',C _ <br />J / ' <br />ia �___ i--I— <br />� . , -,--i i <br />I <br />� SUB TOTAL <br />HOI1P5 RRTE <br />- y - /L - _�- s <br />� _ � -1 <br />C � y� - Z I .s._ <br />7— —O __ _ <br />/ � �. 1 -- a /�+a <br />I TO"Al <br />I REMARKS: � ` � <br />,--;_��_r'T�t=-1�/�--1I1_�Zc'i,'_, �o�— -'��ct :2�_�id//rc�/�'i___. <br />