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f <br /> APPL.� /��2 APPLICwTiON FOR SERVICE SERVICE y° � $ C � <br /> No. �I�' ORDFR <br /> p o CfTY OF EVERETT WATER DEPT. �] <br /> �%ED I�'J�� DATE `_�� _19�. <br /> � DEPOSIT s _ W O. <br /> 9ERVICE (eY ADonE98)�1�µ—�PG_L�lew�^�!_OLK. �- LOT����• r�_ADD.SE�� �� <br /> OWNER • w• —RV�L ._CONTRACTOR_ �'� y �J� � I _ <br /> INST!.;_�_METERED SERVIC�_—__ _ _ <br /> I !1EREBY APPLY FOR TNE USE OF WATER IN ACCORDANCE WITH TNE . <br /> ORDIN�NCES AND POLIQES OF THE WATER DEPARTMENT NOW E%ISTING �y� � �f-/�� ,/�� i- <br /> OR AS SAME MAY BE F"'EAFTER CHANGED. starvco�_�.r.,.d.��L.C�_�—�L�Z�1*= _ <br /> MATERIALH 3i 16.I 1 IN. I 2 IN. L I I PqICE AN.OUNT <br /> PIPE COPPER• GALV.•-STEEL � I �, � ��� <br /> CORPORATION �_���_� ---III I <br /> cuRe cocK or _ ��_� I �� I <br /> SERVICE BOX PLASTIC -� ��� 'i _� I _ <br /> METER VALVE <br /> METER No. TYPE_ I ;� —�� <br /> METER d0% CONCRETE SMALL LARGE __ I I <br /> —1 I� �F k' ? FL�� --�� —� � --� � <br /> C �. �',:c,� �'k-�a:_ F_x r' -L I �I <br /> I I <br /> ---- - _ - -I � _ � <br /> ON / <br /> DATE INSTALLCD: `�/ y�j O OFF�>/����„ L�'^UB TOTAL <br /> J Y . i _ /L <br /> CO�E I LABOP.AHO EQUIPNENT RENiAL I NOUR9 RML <br /> � i��r;�C.�C�� - — �_�� <br /> ��1 �U — .---� n_ __� � <br /> � � �r:i''t���t K�,C�-i// -I--r' - -- II I <br /> —, <br /> �C'r�'�c�t' �'�-.�=�-- — � �— --�� � <br /> --_ i <br /> i <br /> -- ------- ---�---� - ��— 'I — <br /> I I IL� <br /> TOTAL I <br /> REMP,RKS:�— � <br /> --. . . — __ ' _ _ . . . . _. _ .__.—. <br /> . <br /> �7 L-'�I <� . - <br /> ._ . _ _ _ . . ___' __—__ —'_—._ —.- — <br />