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AF'PL, f 9G j� APPLICAA7N FOR SERVICE SERViCEN° A i O <br />No. , ORDER� - � <br />' GTY OF EVERETT WATER DEPT. '��"- �// i� <br />G L ' � DAYE.--Gi'v i �' —19_,._- <br />% I/>7/ <br />� FIXED <br />, i r N.' W.O. <br />� DEPOSIT s �a�.-�. � .� / No.'__.___." _ <br />-� .;J ,C��- 3 % �_� - �' <br />u: .. �i�<.,._��. <br />SERVlCE r�oqqeea>�� _- —��LK.__—LOT____-ADD.._ — <br />OWMER ' J ��" `�r� � ----CONTRACTOR__ <br />ir .--'__. _—__._- <br />3 � • � -- _ ----- <br />INSTAL METERED SERVICE � � �/ <br />1 HEREBY APPLY rOR THE USE U WATER IN ALLORDANCE K'ITH THE . - i <br />ORDINANCES AND POLICIES OF THE WAiER UEP�RTMENT NOW EXISTING 6IGNGD X � �" �� ,���--=-�-1�� <br />OR AS S�ME MAY BE HEREAFTER CHANGED. ,�--""' • <br />MATERIALS I y�N' ���' I Z�N' I_�T_ _Pp�CE AMOUNT <br />PIPE `COPPE�t GALV. •- STEEL _ ��.� I _I _ • ��/ �I ^�L <br />— — �� � �—�_ — —_,��, ��l r! 7 <br />CORF'G`RATION ___ r II I <br />CJRC'COCK OT _ I I <br />- j I � _—J!— i <br />SERVICc BOX P� ��.:>TIC -- �: � __ <br />METER VALVE � -I—'—�- -- � /)' <br />_ --- � � � ,�3 %� <br />METER No. { / �_�i�-�-�L-L. TYPE: /r�.,.�l�i� I —�. —_�— ---+f„'—,T� �, <br />ME'fER BOX ONCRET� �MAL I_ARGE_{J _��_�_�—�i �I <br />DATE INSTALLED: <br />�ooE i � <br />i ' <br />--I- ,:. , — <br />��s�a _ <br />I <br />RFM.AFKS:-- <br />I � ON <br />❑! OFF <br />LABOR ANO EO'JIPAtENT HENTAL <br />3UB T4TAL I l�� ��/� <br />I <br />HOURS RATE L�_ <br />�_ �I ; � c>_- <br />I~ I <br />I� <br />�I _ <br />�—�''_!��"?��i ; i �o <br />—I — <br />—i �— <br />� ---���— � i I i ;: <br />=3 — ��J'! �— <br />roTn� �I i�'J �u7 <br />� ;n <br />__._.-_ >_�_-_-�������--�._�.I_.__-__'"".. <br />� ' .:" ..., . . <br />. :, _ � _ :'- � . . . . _.-� , <br />� . (._ ��,._'- __.. _`__-_'_—'�_-"'_"____"_"' <br />