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y --��-�:_-�=-- --- <br /> ""`. a9a�s CITY OF EVERETT seKvicEN° � � 4 2 <br /> Na• orto=n <br /> APPLICATION FOR WATER SERVICE /� (�?� <br /> �FIX[D � Lrn�- Tn �OtTING CP �z(-�/ � I I`f/2.� DATE �v-��—IY%J <br /> � � DEtOlIT � /�J / � ii�� N o. <br /> ![RVIC[ (�YADD11p�) �� 7' ✓'�- "v _BLK._ LOT�ADD. <br /> OWN[ � CONTRACTOR <br /> 3 - <br /> INfTAL METERE 3ERVICE <br /> I XERElY A�PLY FO OF WATER IN ACCORDANCE WITH TXE <br /> . ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE NEREAFTER CHANGED. •ieNeo:� _ <br /> _—_—�—__— <br /> � MAT[RIAL� �i IN. 1 IN. � 2 IN, ;��P��C[ IIMOUNT <br /> rlrE COPPER-GALV.-- 5'fEEL _� � <br /> �� CORWRATION j <br /> , CURS COCK OT j —f— <br /> SFRVICE BOX PLASTIC -- C 1 �f I <br /> � M[TER VALVE . __ __ — — <br /> MET[R No. �Q _ TVPE:i/.c�U,�/F _I.__S__�C � <br /> ��` �� ---'----- --- -- <br /> � METER BO% CONCRETE SMALL LARGE I <br /> — —_—I _L� -_ <br /> - ' —�—!— <br /> , -� ; ; - <br /> --� - <br /> _� --- <br /> � �, � I I <br /> � ON <br /> � DATE INSTALLEC:�G�GS'�3 � OFF SUB 70TAL <br /> a <br /> COD[ I LAOOR ANO EOURMENT RENTAL NOURS RATE <br /> I <br /> I _ __I � <br /> . I _ —_�I___ _� <br /> � �, <br /> --� -- ---�— en on s rvice— <br /> � BacMlow Prevention Co sultation <br /> � <br /> TOTAL <br /> REMARKS: <br />