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� . <br /> t <br />� <br /> f <br />� - <br /> f <br />� <br /> � �� ��6�,� � <br /> n y� <br /> �G � _� APPLICATION FOR SERVICE SERVICE io <br /> �, NoPL � � 0 ORDER h- z438 <br /> CITY Of EVERETT W!{TER DEPT. <br /> ; <br /> - /Y -� 7 <br /> ��FIXE� DATE_______19�_._ <br /> � � DEPOSIT 5 �`e-Z- �t W.O. <br /> No.__ <br /> � / —_'_ <br /> � SERVICE ( Y�coacs9J i �"U .� �S �Jtf �J��_BLK. -� �� ��LOT/✓� / � ADD. SCR'-�{r �'��� , �., <br /> L/ � / �-,.- /� 1�=—�,_.— <br /> OWNER��-��•�������-+"�,-'' 7- ,��=�� � CONTRACTOR_ ��c.�1. L�1•GL <br /> � F4�—� . � �- —. <br /> I IN57AL ��'�L�;��_r:67ETERED SERVICE— , _ <br /> i <br /> I I NEREBY APPLY FOR THE�TSE--"DF�WA7ER IN ACCORDANCE WITH TNE <br /> I ORDINANCES AND POLICIES OF TH'e WATER DEPARTMENT NOW E%ISTING /L ^ /�� iJ - <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. sicneo: X��.i��(G�_4���L�it>CC�[«��Yl,�fc. . <br /> I ✓ <br /> MATERIALS ' �I IN.� 1 IN. �i 2 IN. 1 I I PFICE AMOUN� <br /> �� j � T- <br /> I PIPE ___ C�ppgRi- GALV_-- STEEL_ � <br /> � CORPJRATION / � � <br /> � CU 8 COCK OT I �� <br /> I SERVICE BOX� PLASTIC -- G 1 I I � <br /> � METER VALVE � I I <br /> NIETER No.�t _ — ��_._.'—� —___ ____. — <br /> �—.. f:=��___..—7 YPF:��A1LL/_L�- �Y°��_ _—_ _ _ _. __ .. <br /> j�r lETER BOX CONCRETE SMALL� LARGE ' I <br /> i .____.—'�t/C � I <br /> r ShK:-� A�� / —�--_I—___- -- -_ � <br /> �- � -�- --J-�-- --- <br /> , � , _ I <br /> r-- - --- - -- <br /> I - --� _ <br /> �- - ------ �-- - -�-- -- <br /> � � I , , - <br /> YJ.. OIJ <br /> I DATE INSTALLED: �� ��,_ �� ' � � OFF SUB TOTAL <br /> i COOL I LADOq r1NO EOUIPM[Nf RF.NTAL HOURS RATL <br /> ��I . . `. . I •., <br /> � n -i� .. '. <br /> �- i. <br /> __.--_--__ _-_.__. .u.__-._ <br /> I . /�- _ _—'_.__----:—___ _ - - <br /> / �1 i � i <br /> _ __"—�_�.7-. � . _ _ -__ _--- <br /> �--� � , „�/= � ^ ; �' �: S - -- <br /> � , 7l-/' - --- - - <br /> � — - ----��%G`� �-�- - --- - _ <br /> � �� -- <br /> --- - - ------- - -�--- - — -- <br /> �--i , - - <br /> I--, ----- -_ .. ._ ----_. -- ._ _- ' i <br /> �-- — I �_. TOTAL— —� _-__... <br /> I REMARKS: \ <br /> � <br />