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Na������ c _ , <br /> CiTY OF EVERETT SERVICE <br /> APPLICATION FOR WATER SERVICE oROER NO. <br /> � FIXED �- �- -. �r <br /> � DEPOSIT s �� ! DAT�-!:���__fBZg� <br /> NW. O. <br /> 3E�RVICE (BYADDRG�)��� 7jy .-�j No. <br /> � D � � <br /> OWIVF�R�/5�—�t�`� C� --,_ _ .BLK._�LO7 'o'�� <br /> n i h,.y n <br /> uvsr.: l 3/i CON7RACTOR L d .%l, <br /> TERED ER� <br /> � HERt � ,pp�Y7FOR THE USE OF WA7ER IN ACCORDANCE WI7H THE <br /> ORU:' .���� AND POLICiES OF THE WATER DEPARiMENi NOW E%IS7ING <br /> OR /�: SAME MAY BE HEREAFTER CHANGED. ' <br /> BIGNED: <br /> MATF.RIAL6 - <br /> PIPE �L iN. i �N. z r�. � . -__ <br /> :OPPE__R'_GALV•--STEEL E AMOUNT <br /> CORPOR.�710N ----------- I <br /> -CURB COCK pT � I ___-�� - <br /> SERVICE BOX --- � I <br /> PLAS7IC ._ C � --- __ _ <br /> METE_ R-VA.L_VE �--��- � <br /> METER No. - ----�-----_ - <br /> -----�_-_-�... 7YPE: ;6 <br /> METER BOX CONCRETE � - --"- -- <br /> __ SMA�L LARGE ---- <br /> ---�__ -- _-__-I�---�� <br /> - - --. -_'-I J I_-_ <br /> I <br /> ---�-- - -------- � <br /> --�-_---.---- � - <br /> DATEINSTALLED: � �N I � <br /> � � � I�� I � OFF SUB 70TAL <br /> CODE I <br /> �—I LABOp AND EpUIPMENf RENTI�� <br /> NOUq9 RATE <br /> � —_._ __ ;7L�1..( a�7 �ri:�� (. I� <br /> �--,_ <br /> � — —_ )C/?0'riL'1`I ! ✓ I� <br /> �---- '-�—j--�_ <br /> _ ; �,-- - , �1+^�/ I - <br /> _ ________ �� ��---b� �-/-- - i--�-- -- <br /> I -- �" �� I�,----�--'—'—r _ <br /> _� ___ I <br /> —�— -- — - - ---i— <br /> REMARKS: TOTAL <br /> - -_-- -'-----•._ <br /> 1 <br /> +. <br />