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, <br /> ppp�, �O 4D 9 APPLICA710N fOR SERVICE SERVI�:E N° � O �O <br /> oRue +-, <br /> "��� 1�,J CITY OF EVERETT WATER DEP1, pA �_:,,, �� _��� <br /> � Fixeo � <br /> ��.,, i:' w.o. <br /> � DEPOBIT s l .�L�__ ,� / No.-__' <br /> - /'_ . � i <br /> ��«: /, i._,rd- � -- <br /> SERVICE �er�ccnu���'�-�S,'� °--K-�1� ' `- t + .—BLK._ ' _.LOT_�--ADD. - <br /> � ��''� =�� �-Q-f <br /> —conrw�crq� ' �—�-'� — <br /> OWNER___-- - — � ..� c-r�� <br /> � <br /> INSTAL� �--�M�ET�ER_E� BERVICE_._.--...__ �Z?(. �/�., _ !!� �nv>�„��^C('tI� <br /> I HEXEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE - '-� , �'� <br /> OROINANCES AND POtiIQES OF THE WATER DEP�NTMCNT NOW E%ISTING �/,// ;� / f� . <br /> OR AS SAME MAY BE HEREAFTER CHANGED. •�aHco: %- _ - - �-1-- <br /> MATFNI�L6 � ' °� IN.� 1 'N �i E IN. . i � -PRIC[ i AMOUNT <br /> FIPE COPPtR•• +ALY --STEEL �� ����n <br /> CORPORATIUN _ /7.i�'l's�_------ `�i__ _� _�4/'.�J� `3S.-'. IU <br /> .�� I <br /> CURfl COCK O'I' I - <br /> �I <br /> BERVICE BOX--- PLASTIC -• CI ___ I _I---"-�_ �I I _ <br /> METER VAWE -� -- <br /> — -;--- — —�--- -- �� n <br /> METER No•t�'LLI._��l-i6-F-JZ'! TYPE:�`l (.�,.. I_�{ _ _ �_-' - _-_ � - __. <br /> T <br /> GONCRETE SMALL ARG � /I� a�..�_. <br /> MF.TER BOX _ __________ �_ __.I..-__�. " ___ -_� - <br /> �� L <br /> � � I �� <br /> ---- — _�'�"`�`6 --- -- —I - -- — � --1� �, <br /> -- ---s--�;.�, — —i�� - -I— — ��i is� <br /> ------- - _ ------ <br /> - - <br /> ----------- ---- — -i ----, --- — -- --!--- <br /> � ON <br /> SUB TOTAL � <br /> OATE INSTALLED:�j I �OFF' �'l 3� <br /> �3� �5 '�OS� <br /> COD[ I LAlOP AND EQUIPMENT RF.NTAL � MOUR9 RAT[ <br /> I //.. � <br /> / �/i <br /> _ _ ._...__' ____ _"_-"I_y/--_ � " I�—�. <br /> ���/""�,� "_ _—__ _..._'--_ . � <br /> "'Z '_ . / I _ - <br /> I ..___ ___ -� � � -,__ <br /> _— �� <br /> i C '_. _'_'_ _ _-'-_ - ___'_--- _- I"�f_ . -_ �__. <br /> _ — ' _r,_L i_:`u � ---- — _ , t-1_ -_,—`� i_ I � ,�f ', % �:s/ , <br /> i I ' <br /> - -- <br /> J� <br /> i .1`C. �_e1.V__t c r _ __� s ., c9 n n i i_t _ !I <br /> - -- <br /> -- --— -- <br /> i �eh�r, a--F ...-- �-----�-�- --- .i--i--- <br /> n�_ G. � e __ i n .r o f-— -- --- -- '� --- <br /> Yi----- . i C'/, . �'„ �r /5'�, � S L ia l ��� � <br /> — TOTAL .' '/Li:/ �r� <br /> REMARKS: .. .. .. --'-' I <br /> .-.__� ..._ ..._- _ _. . <br /> . - ... .._ _. .___-- _ -_'_'-_--_ <br /> _4i �. J , ,. ^ . . . . . . � _.. ._ _ . _ '-� . . _. I <br /> . i '. ._ <br /> J <br />� <br />