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; <br /> NOP`'��J-"�%!� CITV OP EVERETT OIIDERE NO. _ - I <br /> APPLICATION FOR WATER SERVICE q(^ <br /> � FIXED DA �6 _19J�_ <br /> S� / <br /> � DEPOSI7' s �� W. O. <br /> No� _ <br /> SERVICE uv�I�p7n REBY)�'��aJ,(/��' ll�iC�LV • _ - BLK._P1�LOT A{�.�/-'_'_�'�. <br /> OWNER_.�,.�Pa�C/Esl.i!_�_ _,.- -CONTRACTOR___ ��`j'�''"� _ <br /> INSTAL� � [� FETERED SERVICE�-_.- __.._ _ __ __ <br /> I HEREBY APPLY F�R THE US ATER IN ACCOflOANCE WITH THE <br /> ORDINANCES AND PILICIES OF THE WATER DEPANTMENT NOW E%ISTING <br /> OR AS SAMF. M�i 64 HEREAFTER CHANGED. BICNEo: „�V __ Q_ <br /> M�TERIALB V� IN.I � �N. � 2 IN. I I PpICE �MOUNT <br /> PIPE �^ c�/G COPPER--GALV.••STEEL__ SD� <br /> —� __��'_" _ <br /> CORPORATION _ _ _ I _ <br /> CURB COCK OT j <br /> I <br /> SERVICE BOX _ PLASTIC --_ C I_ _ I �_ <br /> METER VALVE 1 <br /> ME7ER No. ��p !/ _ TYPE:_��D�E� �I ��f__ _ _ -- <br /> 7 — <br /> �ET�ER BO% CONCRETfGf�AS7�� SMALL LARGE ( <br /> ..._—_� _—__ <br /> �i � <br /> � �y-� "�''r�`-�-��'7 - -- — � � -— <br /> _�„ H� ��-,r��G---- � �— —--- <br /> �'!"-�_ —_ �—'_ <br /> — - - <br /> ���� ��P ��cv---- - —1—�_ <br /> �£�o, ,�i'�.�;r�---- ---s-Ti'c�- �— — _ - — <br /> I I I <br /> � ON <br /> DATC IN51'ALLED: ��//� � Gy I �-J' OFF SUB TOTAI <br /> (T <br /> COOE � L�BOP ANO EOUIPMENf RENTAI MOUPS RATE <br /> I � I � <br /> —� — f sf�--��-- -- <br /> — �r�se..ti-I Q _ -- - <br /> _� ---"/ �— — �, i, _— <br /> ' - - J.,�� _� j ��• i g .. <br /> _ � ,, �— <br /> ' --- -- ----- �..3��_ � <br /> - ----- , -�- --- --- <br /> -i- ----- . _ _ - -- ----- ----- � <br /> i_- _ . <br /> T'OTAL <br /> REMARKS: ��Q/'I1r^_L -�_—'—__'_- __.- _. <br /> 4 <br /> J� . <br />