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, <br /> s <br /> ` <br /> i � '�'��'; <br /> ,; <br /> ri <br /> r, <br /> f`r <br /> I . ' <br /> NOPL � `Y �`-'� � CITY OF EVERETT OP.OER� - <br /> APPLICATION FOR WATER SEflVICE ^� )j 2 <br /> � FIXE� <br /> DATE__ y��-,.�_1 <br /> - / ^ �� <br /> �DEPOSIT S /�.,/ /�— W��• __ <br /> —�f..,� No.— <br /> SERVICE (1BV ADDREByB)—LL/b�' _ /��— �— ��� BLK._ LOTc�ADD._/�'L_(!�/`F—"V I <br /> OWNER—�J��E�.��'�-RA�J CONTRACTOR_ _ _ __Z�__!��'V�'�J_ �li <br /> /� p�) <br /> INSTAL�METERED SERVICE—.—__—.— _______ ___.__ , <br /> I HEREBY APPLY FOR THE ❑SE OF WA7ER IN ACCORDANCE WI7H THE j '� <br /> OfiDINANCES AND PO�ICIES OF 7HE WATER DEPARTMENT NOW E%ISTING / <br /> OR AS SAME MAY BE riEFEAFTER CHANGED. atcr+eo: X���✓____.�1 _.�-•�/ ___ ____ <br /> MAT[RIALS � �/ IN. IIN. � 21N. � I / PRICE ' AMOUNT <br /> PIPE GOPPER -- GALV. -- STEEL _ _ I I <br /> GORPORATION __ _ � I I� <br /> CURB GOCK OT � I I <br /> SERVICE BOX PLASTIG -- C I I I <br /> METER VALVE <br /> MCTER No. —_---__-- TYPE: _.---._.__I ..�—__ _ —_ ___ _—_—_ _ _ I <br /> METER BOX GONCRETE SMALL LARGE ^ � I ' <br /> — __--__— _--_. .—__ --__I �I__ i <br /> I �_I— <br /> _—I—� I—'I—__ —_" __._—_— . <br /> —'— ' —I_'�—___ _ <br /> -- -- - --� �--'-'--- <br /> I I I i <br /> ON <br /> � DP.TE It�STALLED: 1 il��I!"�� OFF SU9 TO7AL <br /> I <br /> CODE � LAeOp ANO EUUIPMENfR_NTAL � MOl1R5 RAT[ <br /> � --. -- ---- ---��l�"?�dt��� � --- �-- <br /> I � <br /> -- _- — — - — --- <br /> i I <br /> --- <br /> - - --- - -- ---- <br /> ----. _ <br /> '.J I <br /> I --- -- ------ - �--- ------ — <br /> — --- ----- --- --- - <br /> i -- --- --- ---- - --- ----�--- ---- -- <br /> TOTAL <br /> REMARKS: <br />