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APPL. `G13 2� APPUCATION FOR SERVICE SERVICE �? 9 ] Z <br /> No. ORDER <br /> .��•:,,2� CITY OF EVERETT WATER DEPT. �) / /,� �� <br /> �' FIXED DAT 12-1--� <br /> DEPOSIT '" i�' W.O• ' <br /> ❑ 4_____ No._ <br /> � � i� v 1< <br /> SERVICE (B�AZP�REse �'� � S : / .�-.-5�r ••:!�, (�r'/ i ��i;' S'�:!�. .�. <br /> )�-_ _ OLK. LOT—_ADD. <br /> � � � � � <br /> l <br /> �WNER '• :� ��.,Z_ /�_� '��_i�' L� ___CONTRACTOR-_� <br /> ��r��L <br /> INSTAL�—METEREO SERVICE - <br /> e .. <br /> I HSREBY APPLY FOR THE USE OF WATER IN ACCOROANCE WITH THE � <br /> ORDINANCES ANJ POLICIES OF THE WATER DEPARTMENT NOW E%ISTING i��.� <br /> OR AS SAME M1Y BE HEREAFTEF CHANGED. eicN�s X- _ -- _ <br /> MNTERI�L6 {i IN.I f IN. I S iN. / I PHIC[ AMOUNT <br /> _ PIPE (COPPEN•- GALV.••STEEL ��� __I � �N I_LI�^ <br /> CORPORA'lION I � �I� <br /> I <br /> CURB COCK `OT [ /� _' I �_��� <br /> SERVICc BOX PLASTIC •- C I I il <br /> METEF. VAWE _ ' I �� <br /> _METER No.., 'i �' �I"�, ' ' �j TYPE:� �,J,._. I I '� ' ___ __- �I�'_� y (n <br /> _1 <br /> METER BOX �CONCRETc�_ SMAIL LARGE � _ �kj� _ <br /> _ � ' _'� '� 7 .�_.!S- - �V� <br /> _ � if/ ` �, `�i.. �1 �' . I . I � I� <br /> 3' '�c'___���7�� r.. i � —� -- � �,�' <br /> � <br /> - � I I -- <br /> � � ON <br /> OATE INSTALLED: F./='- ✓'�J � OFF SUB TOTAL �-//! /�(� <br /> 7 <br /> CODE I L�BCp ANU EQiIIPM[NT R[NTAL I HOUflS PATL <br /> _ � _' ��:1 � �'��.hr"r. �Y1 a ,L����C ,�: ..i �� I . . ..� � � — <br /> i., r <br /> � - ->L-�_�- � t%. _� -- � , � jJ � < , <br /> � , ' �-- -- � ll � � y' , I�✓� d�; , — <br /> . _�i�1_--� � <br /> � ����,_ " i ��i.v I � ,_• ��I �.� I � . <br /> I � � � � � ;�...il� -, I ; � <br /> ` --�-L �`y--�-1�`-- ` �--- <br /> —�-- ----�� — �"��'-_�ti— - -�_LL�---- —i—.— �II "r I . <br /> ,,i <br /> i �T; ,: <br /> / � � TOTAL � ���_jIG_>� <br /> REfdARi<5: <br /> . . .____ __.. _ ._ __ . _ <br /> _ .. _ . _-. ' _- . _ '_ _.__ . _ . . .. ._ .. ._.__. ._ __ --__._ —_ <br /> �i� 1� � <br />