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�,�joP�' p�GQ�:� CITY OF EVERETT ���/t <br />APPUCATION FOR WAiER SE-FVICE <br />���� 4a'/ S._G�� <br />'��,"•N° 826G <br />oqoeA <br />�F,x,o � T� POSTING S-a= �,,,E_A_�� _ _ ,o�-z <br />� oe, osir s_lns _ w, o. <br />No.__ ___' <br />n-�' / P /I^ �~�� r" — _ <br />lERVIGE i�rwon�nq4`S.__L .L J' _ ��� �L� _ __._BLK. ..._ _ _LO1 . _ _.ADD. <br />,�,o-�/ /T �/�\ <br />OWNC e Tf z�^ K��`� l��' . CONTRACTOR __ _ . � y` _ <br />� �t i /� _'— _ — _ _ — � . <br />INSTAL METER��RVICE_ 4"�UrL3i' �-� (•�__ _,____ ._ ... _ _ . _ . . . l/ <br />I HEREBY APPLY FOR iHE I15 OF W�TER IN ACCORD�NCE WITh THE ��� ( s� - c=1—_ -_ <br />ORDININCES �NO POLICIES OF TNE W�TER OEP�XTMENT NOW EA! ING <br />OR AS SAME MAY BE MEPE�FTER CM�NLED ncH[o.% `f jt, <br />M�TERII�L/ 4� IN 1 IN. � IN. <br />___ � PRIC[ i� • UNT <br />PIPE ��/J � COPPER �_GALV. �� STEEL <br />� <br />CORPORATION _ � yb0� U y / . . . _. <br />4) <br />CURB COCK OT <br />SEFlVICE 80% PLASTIC �� C I <br />METER�� J`�� y �' '7 <br />_r/R�jV./)C)f�� TYPE�Sr�� 7�i <br />METEN 00%ai_ CONCFET SMALL LARGE <br />^ <br />G�-,�-�- yyv�G�Y / <br />� <br />_<�;�,� �_l �v,� r' �� i - <br />�_����. �� �' � <br />����_cx�// >� y � --_ � - � -' <br />--- - l <br />`) ON <br />DATE INSTALLEO�,/�`•� � �� �' ? OFF <br />COO[ ' L�lOR ANO EOUIPMEN f RENT�L <br />_/1v' `�/ - - - <br />—��;--1",1�� <br />�� ' _�/,:L/ � � _ _---- <br />_ _,�-� _ <br />-- �'�-� a ` <br />— = � =�- <br />SUB TOTAL <br />NO�IR! P�TE <br />_ _,.,.. -'---� _ <br />TOTAL �I � <br />i / � <br />REMARNB: r _� t I 1 �' - !� � <br />---- / 7i _TL r I - ` ,�-�';1`- _l�(,qle.�!t'� _ �.�i- lf�..�-%� y � �----- <br />J<� 5 _��.� i. r�i� �, .i �� l�/� !��'� �� �� ��?�,�G' — <br />