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ApPL'���8� APPLICATION FOR SERVICE SERVICE No ] �� <br />„ OROER <br />� Fiz o�� � C��Y� OF'EVERETT,�y W/�TER CEPT. - J�,.,� ,�- /� <br />1 <br />/C t -fi_F.r . -_..L.-T" i'L..��....<".c<�( DAT6�t-____19= <br />� DEPOSIT a Ii: ��: - <br />%(_ YJ. O. <br />(' No.__ <br />SERVICE tar wnoncss�—_' Jr��� Q`'/< r(. -7 LK� � 3LK. LOT__qDO._ —' <br />/dWNER CONT�R+-AC70)j:__ <br />l 2.'�: (C�� . �� FLAT �?-_-__.� . <br />INSTALL M^�^-�'p SERVICr� L��; <<' �_/� 7(�f; ,�-((, y„/:_ 1 <br />_ _ _ �7. (tGGF - /� <br />I HEREBY APPL:' FO7 THE USE OF WATER IN p��OR0A1:�E \VITH THE � <br />ORDINANCES AN7 POLIpES OF 7HE WATER DEPARTMENT NOW EXISTING _ ;�� �{�r__. <br />OR AS SAME IAAY BE HEFEAF7ER CHANGED. s�cNEo:X � N��« � � �` � �' <br />7--- <br />I TLRIAL ,� 111. 1 IN. 2 IN. <br />L�I �� I�� PHICE AMOUNT <br />PIPE COFF�g: • fiALV. - ST'cEL __._' � .5vj �I/�O <br />CORPORATION _ — I� �I <br />CURB COCK OT — <br />_J I_ <br />SERVICE 90X PLASTIC -- C � f�l I j� -�I�/ <br />METER VAWE I <br />METER No. — ___ TYPE: __ I -5 _ �__ _i__ �� I <br />METER BOX CONCRETE SMALL LARGE � <br />-' i i i I I I � � � <br />�dN <br />DATE INSTALLED: - '� l,� � / / <br />/ I / :' � . I � OFF ;' ) --1 �... � ' SUB TOTAL n <br />CODE I �LA90pANUEOUIPM[NTpENTAL HOURG NATE <br />_ - I TI � <br />I - I � � <br />_-� ��� �� (� �J �� � .- _.__ _ ��_ �� � <br />., j _ �r ---i � � <br />� � 1 - -� � - <br />_.—I ---- ---- -- i � I__�II �L% i_ .% <br />TOTAL I� �f�� I�J <br />RE�tARKS: � .� // .. _ . <br />• � , -r . , - - - <br />; -- µ=- - -- =-- --- - - _ - -- - -- ' � ---- <br />, . <br />� -- , , : . r-- <br />,,, <br />--- ---= �-- ---- - � , <br />- <br />- _ _ - - �=,- -. <br />