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APPL. /� �J z APPLI�ATION FOR SERVICE S'ERVICENa 353 <br /> ryp, ORDER <br /> � �`� CITY OF EVERETT WATER DEPT. �� � � ,,� <br /> onre"-' �--t -�7 <br /> � FIXED �� <br /> � DEPOSIT��C. j�' O. ___ <br /> / ��/ //� <br /> �-.C.l1LL�.✓-� <br /> SERVICE �ev oop¢ �_��`O� _ BI_i<.___.—LOT� ADD. — <br /> / � <br /> OWNER � -_s.-�"� -.__ - 'f�)�"�'-' _ <br /> -CONTFACTOR__�_ <br /> i� <br /> J �� s�.wr <br /> INSTAL� METERED SERVICE---_--__— -- <br /> I HEREBY APPLY FOR THE USE OF WATEfl IN ACCORDANCE WITH THE /'� <br /> ORDINANCES ANU POLICIES OF THE WATER �EPARTMENT NOW EXISTING (�/,� � <br /> OR AS SAME MAY BE HEREAFiER CHANGED. stc�ueo: X—�..-�� �" �' _- _. <br /> MATEIilAL6 �i IN. 1 IN. I 2 IN. � PRICE AMOUNT <br /> PIPE. COPPE -GALV.--STEEL _�__I_ _ .S� I �22I�� <br /> CORPORATION ___ � I � �I� <br /> CURB COCK OT <br /> BERVICE BOX PLASTIC - C I I �I I <br /> METER VALVE % I z�2��/��� <br /> METER No�'% JL- -."�_�\/��/TYPE: �o� �. ./I_ 3E � .�-__I—— ---_�_JJIn�+�_ <br /> METER BOX CONCRETE ,' �MALL,!LARGE I _ � IpO <br /> I I <br /> _ —I I <br /> _—� � � <br /> ___ -- —I— I— <br /> -- _—_ —I—_ <br /> i � II� � � <br /> � ON <br /> DATE INSTALLEO: � � _ � � . I OFF �( , , . SUB TOTAL ��9 9 <br /> ) /.. <br /> CODE � Lh80R pND EOUIPMENTIiCNTAL I NOUp'o HATE <br /> � � `., <br /> � ��o�l /� � ( TY•� • t^ _� Od i <br /> I ,��T-r �r i/ r ., . , . -l1'�0 �� �-- <br /> � /� i„- �r^ f � •��D 5��� ' '' I���n:t, <br /> � � <br /> � �' �/ ' I . ' : ) ; ') �� —� /.'�U I 'I�— <br /> � - "' �=�---'-'---- � /. 3e -- ��� � . <br /> 7-i' � - � �� � �' <br /> TOTAL � $OI�J <br /> REMARKS: _ / __�.� <br /> _—'__ --_ '__-_._- _ _____- __- . _ ____. - __ ' ___ -__-___'-__ '—_-_ <br /> ���`�r�._ - _ _ --- -- _ _ _ - -- <br />