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� <br /> qppL�(' ,� APPLICATION FOR SERVICE SERVICE No Zp61 <br /> �Nc. . � .j (. . ORDER <br /> � GTY 0'r EVERETT WATER DEPT. _ <br /> DATE�-'-_——'___19L�— <br /> � � �IXED <br /> I � DEPO5IT s �- ' No�—_�— <br /> � ',' . : :1 ,� .. , /� . ;7� . ✓'<Ji/t '/ � . <br /> � SERVICE (BY Aooaes6)���� J'LL�/c L�� � �'� BLK.__LCT�.y�L�AbD.L�'��)�V/l��-_ _ <br /> ! / �/��i� ��/_)Fij^/ (^,.'�/ <br /> . OWNER � / l�..� i.y�__ _—_--CONTRACTOR —.---__----. —_--- <br /> "i �Me�+F <br /> � INSTAL� ` '� METERED SERVIC�— -- - --- <br /> + I HEREBY APPLY FOR THE USE OF WATER IN ACCCRDANCE WITH THE <br /> ORDINANCES AND ?OLICIES OF THE WATER OEPAHTMENT NOW EXISTING ����� ��� <br /> I OR AS SAME MAY BE HEREAF7ER CHANGEU. sicHeo:�r —�-,�� <br /> � MATERIALB Yi IIL I 1 IN. S iN. L � I PRICE �MOUNT <br /> � i I I I <br /> �_IFE _ COPPER GALV :- STEEL � � _ <br /> -.'��— __—__ ' <br /> � �� � �'-- �—' <br /> �COR—PORATION — <br /> CU� RB COCK OT I I __ I <br /> ' SERVICE BOX PLASTIC -- C I I � _. <br /> — _---_—'_' _ II _ _ <br /> I METER VALVE '/ <br /> METE S�-[O�_�—. —TYPE:NG�J[7J�/__ I � _ J__ I._ _ . _ _. ___ — ._ <br /> I METER BOX CONCRETE� SMALL ' LARGE_ _ � __�`jj�j_I ST � �I_ _ _ <br /> �i_D__�k9�5S I���i�s --- -- � -I�-�I-- — -- - <br /> ;-��_-LGU�01,.�_ -------- ---f-- - -- — <br /> � � � <br /> ��,.��,� ��1✓.v���ps--- - _____S -- - ..� — <br /> � q^xa° C�os_e_�.t,p��� _ �' ,�I— ---� — <br /> s--- --- —� <br /> � " N �,�r_ -v, C,s — —I--�_' a � <br /> �_a°xa ��- r �'P - — � I iii , --i-- - — -- <br /> I � " 9D° GAJ✓ c'd s _ <br /> ON /// <br /> I DATE INSTALLED: I � OFF a�.�� SUB TOTAL <br /> � s-��- �s ��� <br /> ' COOE � L�OOIiANO ECUIPMENfRCNTPL . MOURS NST[ <br /> I ` <br /> ��b i- 5���.3"s ��u�--C l. e�,�P - ------�-�_,_,.��� - — — <br /> � � _ �� -{ _ <br />