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0 <br />NOP�� a,s,3R� CITY OF EVERETT CRDERE N° 7 � �� <br />APP�ICATION FOR WATER SERVICE :( <br />� FIXED �ATE— ✓� I � —_ —lfl� <br />� OE^Os1T f �� � No�—_' _— <br />) �h <br />BERVICE I�r Aoo�u�) . (_� J� � `-�-/� ----BLK..—___LOT � � ADD.�qF�sr.� <br />�- - '- <br />OWNE � _� ---GONTRACTOR_ C����� _.._____ . <br />� � � ' <br />iF�.w; _ � _ -� <br />INSTAL�—C�YIGE—>— � ' .S_yZ_�. _—_ _____ —._— __- __ _ <br />I HEREBY APPIY FOR THE USE OF WATER IN ACCofiD�NCE WITH THE <br />ORDINANCES ANC POLICIES Of THE WATER DEPARTMENT NOW EI(ISTING ��� �� <br />OR AS S�ME NAV BE MEREAFTER CMANGED. •ICHED:% .�OfL ..- ._-_ <br />MAT[RUL� Y IN. I IN. i 2 IN. I PqICE •MOUNT <br />__ ___'_.-_ ___'- _—���I y- I�� <br />PIPE COPPER -- GALV. •- STEEL <br />CORPORATION I <br />CURB COCK OT <br />SERVICE BOX F. - iTIC •- C 1 ' <br />METER VALVE <br />-.___. . ___ -__-_._ -.__ — <br />METER No. TYPE: I •� <br />METER BOX CONCRETE SMAIL LARGE <br />__ ._ __ _ . . _._ __ __.—_-_ I___ <br />. ____ - .--_ ___ ' _ _.... _.I_ <br />DATE INSTALLED: <br />COD[ ' <br />� <br />� <br />-_' __ - _. .. ----.. _' _'— <br />__ _ _.. ___"_ ___ ___ _'_-_I'__._ <br />__ � <br />ON / <br />I OFF V' � ��I <br />L�eoq ANO EOUIPwEN! FENT�I <br />-- . _ _—"____ ;;I��'.�:C:lil:.._:: .� . . .PJICC _' <br />_ �3i'i. ..�IS 1l�!Ih <br />�� Y "- _- � - j__,i <br />�i `. <br />_ _. _. ' _ __'_____i;�1.:11G(� _ <br />.._-. ___" '____- - _. <br />SUB TOTAL <br />I MOUR! R�TE <br />I <br />�__I-_ . .. . ____.__. - <br />—___ _ _' <br />—_I.. <br />TOTAL <br />REMARK4: j.e��')�_ ` _ Z�_I b 7� . <br />_' . . � ..- I: �!' c- r =r +. T �'. � <br />_ —1— — <br />