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� .... ._ _. . . __, <br />, <br /> APPL. � ��, O APPLICATION FOR SEItVICE SERV! e:�I° � � C <br /> No.• ORD R <br /> �,��� CITY OF EVERET7 WATER DE?7. DAT�` '��`�+�� <br />�� FIXEp � � /� � i� <br /> r ('❑j� S /oS �Lp.y Z 41 '�., 1J �l.�r W.�O. <br />� DEPOSIT J. � � N�'------- <br /> - y �����. �C o.:� ���pLY.. LOT_/ __."yQA�-- __ __. <br /> SERVICE 1er nooaes5>---- <br /> __CONTRACTO��T��l' � //'���' �'�.� <br /> OWNEF!_ — .�7�� '�� `�� � G<%� <br /> #IiIIRF � tLC�L4'���,1 <br /> INSTAL� _METEREC SEHVICE_-- -- - <br /> 1 HEREBY APPLY FOR THE USE OF 1YATER IN ACCORDANLE WITH THE A ���C`^/N' //� �r � <br /> ORDINANCES AND POLIQES OF THE WN7ER DEPARTMENT NOW E%ISTING 61GHEO: X/.L�J/-�_= '�� <br />� nR AS SAME MAY BE HEREAFTER CHA4GED. � <br /> �'i IN. 1 IN• I � IN. I I pRIJE AMOUNT <br /> 11AiER1Al5 — — V� <br /> r FIPE COPPE.R- GALV.--�7EFL �_' I,_._ _•��— �^'— <br /> y---- � �� 5 <br /> CORPGRA'fION ___ J _--� I— <br /> GURB GOCK �-T — —I--- � -- ���� <br /> SERVICE BOX —_- "�-ASTIG -- C I _I � II �--- <br /> 1 <br /> METER VALVE ____ . — — - �����17 <br /> —{ � , I' <br /> I METER No��.I_l' S P??IG TYPE: P ..,,h ._I 'S I _ _ __ ��1=_- . <br /> _— V-_ � I —— — � 'C.i'.� � <br /> METER BOX .'C%ONCRETE �. SMALL LARGE J __i ��� <br /> ` �s,,,_A./ ��n`'/(�'�., �— _ _' _ I�i74�2. <br /> :%l � ' � ���� � � _��� �-� �� n ) <br /> �� ��� � � � - � � I L / <br /> � I I _ Lll_ <br /> �_ —� _ (/ _�I i �_� i _ <br /> I I� <br />' � ° �" �f8 85 <br /> I �OFF /'. .+ SUB TOTAL <br /> DATEINSTALLED: — <br /> S'- 7-/. % . <br /> LA60R ANO EOUIPMENT RENTAL I HOl1R5 RATE <br /> .cooE �. � � �56� � �' � <br /> _ � <br /> I ;: p e-s, — _ --- _— �-- I ' I <br /> �.Lv'� I^ I <br /> i _— - �j� � <br /> — - ��y 7 -ieiy ! "'Ii M � <br /> -- (1 -..i-- =—'--f-i�. <br /> I-,.1Zs�-.'��'----------- — ------ I il - <br /> �� — -- — _ <br /> ------ --_ - I i� i <br /> � ----- -- '----- <br /> '--�---- -----i�_-/ I + 7 r... � - � (�� I� .... ', i.L> - <br /> h i� -- � � C C _I—�i_— _ I� <br /> — —�6'-- -�— — ---- <br /> -- I 1TOTAL %�OIO� <br />� .�.E!dARY.S: c (' � � ��1.�r:�— _'— —__—_. --_—___—.—___—'_�_ <br /> —'--_ �''---�-�--- `i'_.�y_- __ <br /> , ' . .- <br />( — — -----— ----— <br /> �— <br />� <br />' <br />� <br />