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r <br />� <br />, <br />� <br />i <br />APPL, �� I� �� SERVICE � <br />No. r CITY OF EVERETT OROER NO. " <br />APPLIC�ITION FOR WAT[R SERVICE - �'' `--p"r.� <br />� FI%ED � �A G.� _18_� <br />� DEPO5IT g�3S � W. O. <br />�J No.--___-'__ _ <br />SERVICE (BY AODRE661_ �/_/ Jf/• --�iCr��! _�- BLK..—_-__LOT__f —�� S"'J.Z <br />/ �! __ <br />OWNER_Q ��yL7ye�`� "�_______ CONiiACTOR_'—__ ________ <br />INSTALL_� �� � -' <br />J� METERED SERVICE__- ' . <br />I HEflEBY A PL'Y FOR THE USE OF WATlR IN ACCOROANCE WITH THE � 7� JJ f� <br />OR�IhANCES AND POLIQES OF THE W�TER DEPARTNENT NOW E%ISTING � � 1 <br />OR AS SAME MAY BE HEREAFTER CHANGED. 9lcrvco: y�. �� �_/'`� �L-�-�-�-' �% <br />� - —_ _ <br />- 1 MATEHIAL6 � ii IN.' � IN, � y �N. � I PNICE AMOONT <br />PIPE �i�C.. 1__—_ COPPER..GALV.--STEEL ___ 1���IT� I <br />J <br />CORPORATION _� I S O Q S _'�___ � � � I -- <br />CURB COCK OT I � � <br />—_ - —_'_ — I <br />SERVICE BOX PLASTIG - C I I <br />METER VA�_yE � � — -- —' <br />METER NO._ "_ TVPE: � � � ��I .� _� � '- — -- --- <br />METER UO% CONCRETE yp1ALL�iARGE <br />o n --- � --�—i– -- <br />– - I--- <br />Q�.�,a_�Y_ 13e�'�o�. __ .O -_ _ __ —� � _—� �_— <br />_�#"_LD� C.-��_z�,.� l.0 � � --- - - --�� �71_—I I <br />_ �� }�_!/_i /-�se claH,ps Z � --- <br />_ : . _J �v 7 3 _ _ � _ _� � � � �-- <br />� ON <br />OATE INSTALLED: I / _ .-� 2 _ (' .' � OFF <br />7 J (' <br />COOE � LA60p ANp EOIJIPMEN! RENT�L <br />REMARKS: <br />SUB TOTAL <br />HOOPS I q�TC <br />- --- — ____S. �eic _I G N�— <br />_ __ ��ZI/ � <br />--� � '� <br />-- - -- -- <br />i�"---- <br />--- �f.�� Q - =�ac.,8_ � „ -- <br />_ _�{3Z5 I ��' <br />----- - —=�'— J ' ' - � � , , <br />s ,, � , -- <br />TOTAL <br />� <br />� <br />1 <br />J <br />