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J1'��i ��� ��C � ;� , .��'I��/ <br /> �PP� '' � '� ',_ ). � - CITY OF EVERETT `� S�DERE ` <br /> �No. - � . N' 6 �99 _ <br /> APPLiCATION FOR WnTER SERVICE —`� / -��� <br /> / � <br /> � FIXED ,.,/� DATE___ �(,.J 1G_7� <br /> � DEPOSIT f � �rl�v= No�- <br /> � � <br /> � /y ) ` �� <br /> SERVICE ��r wooe[��7 � I-� ��- �I`�� I-�sLBLK.._-LOT__ADD. _ <br /> OWNEFt_S ' � �-{ �---�-��__t � - � � -_-._--_- <br /> CONTRACTOR <br /> � `'� --kt�r - �) <br /> INSTAL METERED SERVI(:E_- _-__ - - <br /> I HEREBY APPL�E-USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE W�TER OEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEflEAFTER CHANGED. elcH[o: -- . ___. _ . __ - _ <br /> MATERIALfi k IN. 1 IN. i 2 IN. � PRICE AMOUNT <br /> PIPE �yQ�OC'71� 7 COPPER-- GALV.-STEEL_ /_l_ I__I,_ �I <br /> CORP� J�DOUZ�7 -- — — � I -__I � J ._ — <br /> CURB COCK OT i I <br /> __ . ' ___--__ _- '_"-'__.-_'- — _-_- _- -___ <br /> SERVICE BOX PLASTIC �- C I I � <br /> __- ___ . ._-__ __-_ . _ _ _ __ __ -'_ _ � _� _ - -_ -_ <br /> METER "ALVE N�� ACTII�i`� I I <br /> _ —y� '�n_ Q ' z � '_--'-/ {I . _.. �_ . ._ '. ' _. ___.- <br /> METE _. SpOtJ l �� �'.,.�'"""��.,efu�OO I �t__ _ I J , _i _ _ _ -- _ ___'__ _.. <br /> /y���[� �y�(f� _ . <br /> '_METER BO!C GdN�.�ETE�_,� SMAILL LARGE'_ __ '._J_�i _ 'I�_� ' _ "_'__ _ _ <br /> - ��� 3�-��c�/��) 7 ,. -'- �:o_' - - — � — -- -- <br /> t_:.., �� '' <br /> - C.�,,� 3G:co�S_�7 --- �� —�— -- — <br /> _ _�_��oZ°�47- — - �� —�— ---- -- — <br /> .�_�'"��;�3.35_�_7- - ----L� - - <br /> - s o0o r !�s -f���n c��-se — - - � -- --- _ -_ <br /> �! S c7 o r'e ��^ ��la c,l� d 2- � � � <br /> � ON <br /> DATE INSTALLED: 2� �f g-90 OFF SUB TOTAL <br /> J i' <br /> CODE �i LABORANO EOUIPMEN(RENT�L NOURS NATE <br /> � �'_�' ��-, ��- ;� -�— — - --s' �� � <br /> � - �. Sa�..l--i - <br /> ��7- - --- -- <br /> -- __ z� �� i , — <br /> - -- -- - -3 sos --- -7'�- -- <br /> ; <br /> - -- - --- - �-- - <br /> - -� - <br /> --,— - -- � - — <br /> - --- - - - - -- --�-- <br /> TOTAL <br /> REMARKS:- _-_ _____ '___ '...� <br />