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�Cy <br /> C9 <br /> a� <br /> A�x <br /> APPL. SERVICE p <br /> H 9� N�. T s>,� l S' CITY OF EVERETT OROER N— � � 4 $ <br /> K z� APPLICATION FOR WATER SERVICE <br /> � <br /> DATE__!1' S—.—IB�� <br /> ��J � FIXEO A' <br /> O �H ❑ DEPOSITs c. `' __._ TO POSTIICG �� �� �I , N°--- — <br /> y r / �j /� .�� � /���- <br /> � OlT1 SERVICE feY ADORE881—CZL���J��-'-',`�-`J-��-���—aL�.--LOT � ADD.LZ�..�11=1J—�1sz--- <br /> H C7 / �-^,� 1 <br /> �y OWNER�L11�� ^ �----� -- ----- GONTRACTOR—._ <br /> � LTl O 3 ir FLA7...... —i 7 �4l�1_� —._—____ <br /> �" nCy INSTAL�METEREDSERVICE__. � --- � <br /> H .__ _. �_ — _ <br /> z H 3, 1 HEREBY APPLY FOR THE 115E OF WATER IN ACCOFDAHCE WITH THE /LL, // <br /> � F-3 z OPDINANCES AND POLICIES OP TNE WATER UEPARTMENT NOW E%ISTING fj�� /��l/���--� <br /> Ofl AS SAME MAY 9E HEREAFTER f,HANGED alGr+[D: % _ .. � - _ --_ � �-. ------ <br /> Hy <br /> M�TERIALS ' Y IN.. 1 IN. i 3 �N. � I —PR� AMOUNT <br /> O CJ V� PIPE COPPER-- GALV.-STEEL .._..-- �--"f_—� <br /> I � -- " ' <br /> __"______-_-_______ <br /> � �r CORPORATION �--' � 1. �I <br /> CT1 _ . _-. .__'__' '_____'_. - - _ <br /> t--' -'_''� <br /> -_ -._-__._ " <br /> y .J� CURB COCK OT_� _ __'.___ '__ __ _'_ -.__ <br /> SERVICE BO% PLASTIC �� C I _ ____J <br /> � � <br /> __' —. <br /> .___ _ '_..__.___-'_—. <br /> METER VALVE . li _._ -. I' _ . _ . _ .-_._ --- <br /> .... __ ._ - _ . _ <br /> METER No. TVPE�. '. <br /> .. _.._ I I � - . ..__.. ._- <br /> - .-. _. . . . . _ . . <br /> � METER BOX GONCRETE SMALL LARGE ____ , _ _ _ __ _ <br /> __ _. _ . _ .. I ___ "__ . ' _ ._' <br /> __ _ I <br /> I _ <br /> i, <br /> �� _. . _ . . . . ..__ �__ ___ - ... <br /> f � ._____._" '_-_ ._. ._ <br /> .�q t — �'_" J—I'— .__._ — <br /> I � � i <br /> _..__—__... _ __.—_—�--J—__j_-- __ — --- ___ — <br /> !u. � _ - _� ., I . <br /> _. .__ ._ <br /> —._I ^.—_ _—_ —_—_ _.__ <br /> ..�... :.t . __�I I� � I _ <br /> � — __ —_ —__._. _ . .. _ I - i .-_._ —_—,--_ — —_ <br /> N <br /> �.. ,.yd DATE INSTALLED'. <"� ( =7 / I �FF � SUB TOTAL <br /> COOE 'i L/�BOR ANO EOl11PMENf RENT/�L � HOURS RATE <br /> �� <�•� ---_r""""1— . r I <br /> NO A'II4N- -----.'..----- -- <br /> _ .- - ---- - <br /> Y, > � ��'iiLhe_taY.en-ai-sewice-------- --- — <br /> — �-------- -- -�—�--- �,pplications vrilhout a _ I _. .. ----- <br /> — -- -CiScT�flo:i Prevention Consullation <br /> - <br /> 1 I <br /> .»< <� --- ---- <br /> ------------ — — — — <br /> I ----------I--- --- - - <br /> ----- --_ ----- <br /> ------- � <br /> ; _------ —-- — <br /> --- -- � <br /> � _ _ _ , <br /> �. .a„ --�-- ----- <br /> TOTAL <br /> /— / <br /> � . REMARKS: �'� � .f 1� .. . . <br /> --_�_'—__ . _ ._——___ _ _ ___—_—_ <br /> � <br />