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_ ZQ� � {� APPLICATION FOR SERVICE SERVICE nI° � � a '� <br /> APPL. � O�tDER <br /> "�. � �� GTY Of EVERETT WATER bEPT. � k�(�� ,2l <<' <br /> ����3: ��� � . <br /> DA7 —�" _19 � <br /> � FIXED ,//� �� <br /> W.O. <br /> kA DEPOSIT g:,( / -�i C�__ :'. No. -- . <br /> V4 /y� , ..,�_!- <br /> SERVICE f� nooaEee����� ' �����'"— �������� 6LK._ LOT aDD. <br /> � � � •��� � <br /> '� ::��._.- <br /> '":2�� !_.�'-i,��(/J:,f.-� i �� �=2-�1_/ i m^..� ' _CONTRACTOR <br /> UWNER_ - . � - -�- . / <br /> � " i �� C <br /> INSTAL� G� n�_METERED SERVICE -���"���"�t;S �' ; `�,.�,' ---�? . <br /> I HEHEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH TH� � <br /> ORDINANCES �N� POLICILS UF THE WATER DEPAR7MENT NOW EXISTIVG '/�.�_j ���._,�.�., <br /> OR AS SAME MAY OE HEREAFTER CHANGED. si�N�°:k--' �-��y�-- <br /> r <br /> �H IN. t IN. 2 IN. ��I � Pp��E AMOUNT <br /> MRTERIFL9 �_I_� I ����-------� ''' <br /> I p�pE __ COPPER-- GALV.-- STEEL __ � � ___�- ' <br /> CORPORATION � � I� I <br /> CUR9 COCK OT I - �I�i I <br /> - - � _ �I I <br /> i <br /> SERVICE BOX PLASTIC -- C I _ <br /> METER VALVE --�-_—_- _ __---. —1---- I--/ �, '^ <br /> METER No. �J�/VJ��_.- T�PE_JCIOs _-�� �'' =/���� C. �. ,!'(�/ � Y�(,,, ��• (I11: / �lY./I .il�. <br /> SMALL LARGH � _ — <br /> METER BOX CONCRETE _ _ _ _ ___ . _ _ _ ____— - --� i <br /> v-.�o <•v -i;�x� , , �5 , y � , , , I I i� 77�.�0 <br /> yc� �i fi�.�'� ky � /� �Gti� � - <br /> ;o-�s cv;3�� �cz, •' ' ° � � � � <br /> , . „ — �__ �---- - —�`li <br /> r j,=—'------- —�� � � -- <br /> � -�;%sx 6 c�i�o.er:;:;��. a.ru '�.t [in,c,rr-ev7 >,� '� � _�''7_��. � <br /> /�.�SX % ii � ' 9 n - .J11!!�i --- q ` <br /> /I'.7 '_ C 7 O' ___-' —_I�_ I A.�I�� � <br /> 3. �:�,1_�r �„r --,-- —� I I —I-- �a� si <br /> �� ).T _ .7�� :i �1 Jl"/.� � (��'� %�i��, � <br /> /J n ON <br /> DATE INSTALLED:C.U�CCL��!�G�/� ��/��� I � OFp SU0 TOTAL ��3� � <br /> LAB�)H AYU EqUIPMENI PCNTAL I HOURS PATE �� <br /> COOF � 1 ._ .� . � <br /> ��- � <br /> � _ _ �� .J-/ _ —__ —_____ _�I� __ / � i <br /> -- ��^ � ,;' � ��= �"� <br /> I �� <br /> --�i -- ,. �,, ,. — � � — --I r� — <br /> ----- — � �i � <br /> ----- ----- — -- — �--- -- ---I— <br /> '_'° �I TOTAL I�I�'__-I_ <br /> __ ___________-.. ___--_ , _�,I �- <br /> _.--_._—._—_ ___ _—_—_— - ,I j--_I <br /> C.%— _ ���/I/ / <br /> RE�tARKS ... -_- .-_._. . _ __.. __._.-__�_ <br /> -..____'- '__. - . <br /> ._- __'.- ___- <br /> . _ _ . _ __ _ .._ ..._. <br /> .��`�1 (.L l / . . . _ .. . . . . . . . _ ._. . . ___ _- ._ <br /> l _ _ <br /> � <br />