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"�'' ��� 4 6 5 AfPLICATION FOR SERVICE service jv° �,rj Q <br />No. ORD R <br />/i��G� CITY OF EVERETT WATER DEPT. � '��> <br />�� FIXED / DAT ����,�. / � <br />�J <br />n OEPOSIT q � CCr:. El� . . .� <br />' ' y � �� /.", J i•� ����— --- _ <br />'7Q] � �. <br />EERVICE �nv � p�ae� '����/f! zc�/� � <br />}� � —_'__ ' __ OLK.. __ _ _ LOT. __' _ADD. _ ____'___ _ <br />OWNER_.�-SF..� �:�-1 ,E�J <br />. � _ -__._____... ___CONTRACTOR _ -_. _ ______—.. <br />7�, i i <br />INSTALL .�3._ _. _FIETERED SERVICE. . _ __ . � <br />_ _ . ._.'_ .-___- ____ _ '._...___-__.. <br />� HEREOY APPLY FOR THE USE OF WqTER IN ACCORDANCE WITN THE � -� � <br />JRDINANCES AND POLICIES OF THE WATER DEPAHTMENT NOW EKISTING i' '� ;/-� ! 1��� �+ <br />UR AS SAME MAY BE HERFAFTER CHANGEU slGr+ep:X`-._��� �� �J C <br />ta4`�EPIALf 4iIN. IIN. 21N. i <br />I I I PRICC AMOl1NT <br />PIPE _._. _ COPPER_. GALV. A'��."_-_ . _. ..___I 'LT I I ,�i„J ��-_-�li' <br />- _ _-�....._r =u-_=..�. _. _i �_---j�= �� <br />CORPORATION <br />____ ._ '_ .__'�_�s ___ <br />_ GURD COCK OT _ �I I� I <br />SERVICE BO% PLASTIC -- C 1 I I� <br />_- __—_-__ __ _. ' _ _ I- _ <br />M __. _ . '_ __-- �n _J__L_ <br />/.. <br />ETER VALVE_ . " _ . �r'a.� �L1i_n �n I. _ I����' <br />a..__ __ _-_ -' _ .__ . � <br />METER No.t7'il Y2. ' �..� �d„f%S't TYPE._c�i '..Ji . I__�S _ "_ ' ___ _ . �_�✓i��/ � <br />ME7Ea 80% � CONCRE7E __SMALL (LARG __I ( _ �', I� DICV� <br />—�c <br />_ _- � ' ,' � / ' �� Ili� <br />- y�'� s � ` � � . �7'�-�!���s!: <br />-- � �3 � _- � i �� �y; <br />, , <br />— '-'�- ''----�L <br />_ -- - - ---- - --- - -- - <br />- _ `_r <br />;,_ . -� i--; � <br />� ON <br />DATEIN57'ALLED; _ I f / ' <br />, , . f7-oFF �-;: � <br />CODE I L�DOp AND [OUIPMCNi NLNTAI <br />r � �.--. _ '__—_--_ �__ �_.'____"1__— _"'___—__ " <br />_ ___'_I <br />_ . _ -- -- _ _ � <br />__ --- -- <br />-- U. � _ - _ I '/ : r ' 1 <br />Rl'.n.fARKB: � � � . <br />-�--= � . -__-�- <br />' -�I l��} <br />� /•%lll� �-2y <br />I i c�;; <br />SUB TOTAL 5 � - <br />IloUliB I A�TE <br />