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APPL. �7 ��� Y CITV OF EVERETT oRpEq E N� 7 � 6 7 <br />No. R� <br />APPLICATION FOR WATER SERVICE ,I <br />� FIXED DATE_,�_II _-__ICC1� <br />y DEP061T s /� U W. �. <br />� ❑ _1L_ No._______..__-___-.__— <br />� ��i C` C � <br />sERVICE t�r �oo�cnl--� " �`� ' -� f✓ ^� / � � <br />�-'--'--- _ L_'____BLK..-_ __'LOT_-___-AOO._ <br />OWNER--.L.2• �� � _�'S-L_ ..-__._ __ _CONTRACTOR.________.____.______ <br />INSTAL 1� A . _.6� ��%S�� --___-.- <br />- -. ._____ ___._. _-. -_-_ <br />I NEREBY A PLY iOR TNE USE OF W11TER IN ACCORD�NCE WITH THE ^ <br />OROINANCES ANU POLICIES OF THE W�TEN DF.PANTMENT NOW E[tSTING /�_ !, �J �¢- _ <br />OR AS SAME M�Y BE HERE�FTER CH�NGED. ucr�co: % X/ ��f v�.�-���L_ <br />MAT\RI�Lt � IN. 1 IN. 3 iH. - i I P� AMOUNT <br />PIPE COPPER •- GALV. -• STEEL I I <br />- _-'__"_ _ -_'__- . _ ___' _.- .' _`'__ i <br />CORAORATION I �. <br />—.. .__ —._.-__ __ _ ... _-- _—_' _—I__.._ -_ _._--_- <br />CURB COCK OT j j � <br />—.._ - --.___-__ --- - <br />'_-_' ______ __- _'._. <br />SERVICE BOX PLASTIC -- C 1 I <br />—_ __ _ _ .. __._ _._ ..__ _- <br />METFR VAWE � <br />_ ...-_.__ _- I __ _—_—___..I ._-__- <br />METER No. iVPE: � � I <br />METER BOX CONGRETE SMALL LARGE i I <br />- . _._ . ' _ '___ "__ . _. _ _. _ _'- -__ <br />- -------- _ � --�---�-�-- <br />- � --i -�-�-- - -- -- - <br />- ---- - - -- - � - -�--� - - -- - -- <br />' � I <br />- - _ _ --- - �--i- I -- -- . ---- -- - <br />ON <br />DATEINSTALLED: I OFF �//�j SUB TOTAL <br />CO�[ j _ L�BOR AND EOUIPMW f q[NTGI IL HOUp6 RAT[ <br />�_�' .1-_- . _ _ _ - - --_ _ _._ .--- -�-- <br />_ . _ _ _ --- -- <br />; <br />-- ---- �y]iLJ�!�---_—,,n_�;r�i;—� _----i -- --- -- <br />� ap(,Ilc�+in,��� v„i1r�u� a � - - — - <br />--� -- �tcclTrwF'?uve:i ��,n ,c, ,i . ,�, � -- — - <br />---- -------------- - - <br />I -- - <br />_i <br />--- _ _ <br />I - - -- I--- - -- <br />TOTAL <br />REMARN9: � �l u]�t( - G S <br />— . /` _. . . . . _ _. ._ .. . . _ . <br />'- ---,..�-- <br />� � a c . . - .-.. - . '. . . <br />