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APPL. I��C�� APPLICATION FOR SERVICi SERVICE No Q 3 � <br />No. <br />ORDEFj <br />��/ �,I � CITY OF EVERETT WATER DEPT. � �;� � '7 , <br />� FIXED DATE�. _ _lF. �__�._-tA�—_ <br />. �,. <br />ki DEPO8IT s�� i_�__� � W. O. _—___ -. <br />��� � No.---- <br />-� <br />�.� �—.�.cL :��11!1�.�):.,, /, <br />9ERVICE caY.nuoneoel_--___._-. `. �'�� J ____ _$LK'_'_ -_LOT .-_-_AOO.. _.. ._ <br />�� � � l <br />OWNER �_ !)_3_y-+f /y� (,iY } LLF•o;,� --_.CONiRACTO�Ili�7(���_�����_%�,'_A�= <br />-} / �--�. IC./ / - �� �J, y / �. .� <br />INSTALI�.�—_METERED 9ERVICE_. _ ..___.-_ _ ___ _ " .__ . ___..____._ <br />1 HEREBY APPLY FOR THE ❑SE OF W�TER IN ACCONDIINCE WITH THE � � <br />ONDIN�NCES AND POLILIES OF THE WA7ER DEPANTMENT NOW E%ISTING '� ' <br />Ok AS S�ME MAY BE HEREAFTER CHANGED. elcr+Eo: %. �_ ��%�f. � �/1'f- �-_. _ <br />� —�-- 1-�''- - — <br />MATERIAL9 I ij �N. I IN. I 3 IN. I: I � I PNIGC �^OUNT <br />PIPE COPPER •. GALV. •• STEEL I ' I I � I I �� �1�.IIi�� <br />CORPORATION <br />CURB COCK <br />SERVICE oOX <br />METER VALVE <br />METER No. �' <br />METHR BOX <br />OT <br />� �--PLASTIC _. -- '-_- <br />. :. "_' TYPE:^/I'..• -J� <br />`C_ONCRETE�,_ AlL LAFGE <br />__ . _ '���� '______ ____ <br />DATE INSTALLED: <br />CODE � <br />I � ON <br />n OFF <br />LABC�R ANO EOl11Pn�f.fli �ENT�L <br />_"_I.� ;� � _�.-__ <br />��� � <br />_ �_���as <br />j • r� <br />SUB TOTAL S/ <br />MOURB R�TE <br />�_ � ' <br />"____"—__—___I `'__ _�.II <br />�-.�-_�' ��� I �• �� _ '� ij <br />a I "-- -�I <br />. . _.__ _ __ � .. . _��I�. <br />TOTAL <br />RFMHRKS: <br />_ --� __ _'_' _ . . .. .-__ ___ <br />ri C i 1'% — -- - ------ <br />