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� <br />� <br /> , <br /> AP�^' � � g�O APPLICATION FOR SERVICE SERVICE�° � ]O <br /> No, ORD <br />� �S��p CITY OF EVERET7 WATER DEPT. <br /> 7 � �� FIXED z�..� 1_�•"1 �j�� DAT�YG7��19� <br />! . �Y D[POSIT S � . G� ��L.;�,E W. O, <br /> v � No. <br />� s � SERVICE cerwoonEes>-1C��� _�7` ��� . _BLY.. LOT � ADb'YL.�!1N��_ <br /> I / �" _ <br />. OWNER CONTRACTO� <br /> INSTAL�%__M�pF0 SERVICE 3/ � <br />� I H'REBY APPLY FUR TNE USE OF \VATER IN ACCORDANCE WITH THE � <br /> ORDINANCES AND POLICIES OF ThE S4ATFR DEPARTMENi NOW EXISTING �� � �� �� G � <br /> OR AS SANE MAY BE HEREAF1'ER CHANGED. eicNeo: X �' �_�1,�yyL <br /> r MATERIALS �' �N. I IN. IN. ���pp�CE /,MOUNT <br /> P�PE COPPER--GALV.•• STHEL 1 _ I ,� 1�3p I�O <br /> CORPORATION -- ' _'�— '� i . / � <br /> — (O�J <br /> CURB COCK. OT <br /> SERVICE BOX PLASTIC - C I _ I - � <br />� _ I , <br /> METER VAWE — � -- ���L � <br /> METER No. tj/� )p� Z.��r�_+.1�YPE: [�. � I � -- ---- - 3� �3 E. <br /> ,' METER BOX lCONCRETE_ MALI.�LARGE _�_ r— �� r <br /> _ � <br /> — �' �--�— _�,�� <br /> - -- � J�._.-I_ - - ----J !33 <br /> _ --��-� - I <br /> _ �I i� <br /> I � ON ""�� <br /> DATE INSTALLED�` IAFF�� SUB TOTAL �� � <br /> �-�Z � � ) <br /> CODE I LABCH AND EqU1PMENT RENTAL HOUR9 pATE <br /> ���.� a., . � _ J._�— j.5 z o.P 1� S9 <br /> -'-�-i�--- -- - ��- ���� �1� <br /> ----- ---_ � �� <br /> , ---- <br /> - i ��----�;-' ' =-r--�- j � --i �;'�-� �r_ <br />� � <br />� 9 <br />�, -- TOTAL II <br /> REMARKS: � �� - `-`"'-- <br />� --- (�1!_�._,/.,l�� 1r�t_� �f ' '—_ _—_ -- ` <br /> �/ r � _ <br /> --- -- --- - __ - - -- _. __ ___ ----- _ -- ------- --------�-�-- <br /> � <br /> . -- _ _ <br />� <br />� <br />+ <br />