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I <br />I N�P�' 2 / �� <br />�FIXED y � <br />i� �EPO51T s � / �� � <br />i �/ //��J <br />� SERVICE �'B�V AODREBB)_7�-` <br />� r�wwiro �UM.�S �`E-S <br />APFI.ICATiON FOR SERVICE SERVICE �Jo Zp$g <br />OROER <br />CITY OF EVERETT WATER DEPT. �/,,, <br />OATE���I_Y�=' -'-197 �� <br />N'. O. <br />No. —'--_.- _- <br />f�'T ,n N�� `II <br />SG�•I6'IC�I�'ST BLK._._-LOT ��-ADD!v,3w �^�'/S <br />I INSTALI I _.� ""'� �'� - — — - <br />. � <br />I I HEREBY �PPLV FOR THE 115E OF W�TER IN ACCOR�ANCE WITH THE /� � . <br />ORDIN/lNCES AND POLICIES OF THE WATER �EPARTMENT NOW EXISTING �;"„^'��� 1 f. J�n,�4y`� <br />I OR AS SAME MA1' BE HERERFTER CH�NGEO. elcN[o: X _�ti�r.n� tL1K��-•' - - <br />�- MKfE0.1/l5 ii IN. I 1 IN. 2 �N. I� �I� �RICE AMOUNT <br />' __ g� I /�' � � I I� <br />PIPE COPPE - GALV. •- STEEL <br />�_ `._ __ - _ _'____- —_ <br />�i CORPO—RATION I/ I _ I <br />CU� RB COCK oT �`I I <br />�_ __ - _ '_ -_ <br />� SERVICE BOX PLASTIC -_C I __ <br />I METER VALVE __ I -__ <br />ME�o_���n'_ __-TYPE:Dl7.U.i�ir.^ II�X _-�-----_- _ <br />i_ -_'_-- _ __ - — . __ . _-_ <br />I METER BOX CONCRETE _ _SMALL LARG'c ___� _ <br />� rif•� d,/y l3e.v� _ � � —�— --- <br />; --- � I �— , <br />� — ----�L, r �ad� -- -- — — <br />" I <br />; _- �� S�'' R — I-- -- - <br />� I J-- —' <br />�__ i e.,fn./ !�¢.�-�� �- S�N �� `/� f�.zs �---I -- I— I�--- -- <br />� .Snv��r [� s f ccrypt !. f i.i �i•s �oyS!- I I � I <br />r— �-6" <br />I �ATE INSTALLED: ` I � OFF , �. � � ��,;' j r SUB TOTAL <br />�-- /n -.:r � - : ;; <br />� C�„E � L��Oii ANC EOCIPMENf F[NiAL MOII(i5 RATE <br />� v / � , y . . -., - • I � <br />�__� �:. .5_:: -.: �_ �/_ `-��s---- - -- - - -- -- - ,; - -- <br />� ,. <br />� _'��pG 1 �ii. _C'vL') i� ' ' ' "t> ='— — <br />-�f J� f i <br />i � /��—��_.— __--��—l-�- I—�-- - — <br />� '_ - — —,(1E<<�F /i � A -- <br />� -'---- -- - �' / - -- �_�. <br />�-- _ � <br />,- _ _ _ - - � <br />,_ � <br />� �/ - <br />I REMARKS: 'jY P�in / (, � ! /' �i /C �'. _'_ __ <br />i_- -__.'_,_- - _ ._- _ <br />---�- _- - <br />TOTAL �I I <br />� � <br />I / <br />___- � ,' O1L C z_[" ���-.�� / �_' <br />T_'-_ <br />l <br />