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sE�vice {`�° 3 9 :; ,� <br /> p�p::1�ATION FOR SERVICE oaoER <br /> AFP��I�� � L- ZU _7'�� <br /> "°• ��� CITY dF EVERETT W.ATER DEPT. <br /> , DATE__- <br /> �N.O. <br /> O-FIXED � _. No. <br /> i� (i �'� (�i <br /> � DEPOSIT 5 _. '7 S//Y�S /�C�L <br /> � l,U.�c�,S �9 � ��� BI_K. I /-LOT ADD._---�— <br /> �/ %�/�L�/�S <br /> SERVIGE (BY ADORE63) ��j U� S/���Y -�-��- <br /> �,/�Gnn i i�f' ���" �r� ��ONTRACTOR <br /> OWNER � -- � �-'---��- <br /> INSTALI_DL--METERED SERVICE-- � . �� <br /> I HEFEBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE WITH THE J'uN[D: X—�=.�—_ �� <br /> ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW E%ISTING .� �,a�cE— <br /> OR ?5 SAME MAY 8E HEREAFTER CHANGED. �f N , � �N, ,, � iN. �_I_JT_ -�'-- <br /> ����� IAATERIPLS -i� I I <br /> ••STEEL � I <br /> PIPE COPPER- GALV _-- <br /> ' �_ II I <br /> CORPORATION I _� I <br /> I <br /> CURB COCK �T I__ - <br /> " C I I <br /> SERVICE BOX PLASTIC — -- _ <br /> 1 -_ I _ <br /> METER VAWE TYPE:T���f�7 I_��--- I I__ <br /> METER No. 3 3 � ���E ---y I <br /> METER BOX �—� <br /> �NCRETE 5�`'�AL�' � I I <br /> ��"�l-llO B�A SS �� � � �a � �s, _ _ �i �-- <br /> SeRulce c__�SAlil��---�Q I— _ � �— <br /> �= 8 9l 9 y.� —�—i <br /> 1 90 ' 6 w —� � _ <br /> s � „ „ ' u ��� �' ---� I _ <br /> _� � "�/ " ('�alu �N%oal� —� <br /> , I <br /> 3_ ,�X3��G lu. ' les o?- tl«. �,r,,;� ,,-.. <br /> I �+�N SUB TOTAL <br /> . � OFF Q � I r G��C <br /> DATE INSTALLED: ✓ � - �,/��� � Houas RATL <br /> �ABOR AN�GOUIPMENT RENiAL ���—�� � <br /> COOE I I <br /> I fI P��,� �'� � a 0 0 � �, (o __.� -- <br /> � � r I,�f9 <br /> {..o r_T-- � <br /> I � �--�3 7�—_���-- �' --- <br /> -"----- -_ _ -_ �° ��G ----,�,_ I <br /> I _—_--�--�------- ,�3�; _��---�--- <br /> i— -----.--— -- � <br /> ' --%nIy ra br ,.,�J���1 � h , Sr, r r. � <br /> ---i- s s y, .�< ,4 s� , i TOT ___._ <br /> d <br /> ---' Z.' TM t K /i T 3� "., 5 S Y -__�-------- ` <br /> _—__.. __-._ <br /> _..---�-----_ <br /> REMARKS: -_—_-___._— . . -_.__-_. _.__ ..---_ <br />