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sEevice I I <br /> NOP � ��� CITY OF EVERETT onoeR NO. ��; �.i R � <br /> APPLICATION FOF WATER S6RVICE p� - (-�.� <br /> � FIXED o DATF:_�•1J_-___ipd_ <br /> � Q <br /> � DEPOBIT � /_/T�-_ W.U <br /> � —r.t= No.'_"_'____.__'__-_ <br /> BER CE/��r• ��� ��.R��__(/.���f .�a•�s7 � _`��___BLK..-__LOT--__ADD.-___ <br /> OWN�7C_.S/2Cr}�j�__E�a�Y(� �%4______CONTRACTOR___._.___ <br /> ry F L - <br /> INBTALL � _ ETEHED BERVIGEi--. -.__-__-_--____. .__ ______.____._._______ <br /> I NEREBY APPLY FOR THE USE OF W�TER IN ACCORDANCE WITH THE <br /> OFDINANCES AND POLICIES OF THE WA7ER DEPAR�MENi NOW EKISiING p <br /> OP AS S�ME MAY BE HEREAFTEF CMANGED. naH[o: X C ... __-_�Zp_.6%?.-___.___-_- <br /> MwT[pIALt W IN.I I IN. � II IN. I Pp1t C � MIOUNT <br /> - L�,� �. �� <br /> PIPE COPPER•-GALV.--STEEL � <br /> '__--_.--.. <br /> _-- --------- �----�-- � -------� - <br /> CORPORATION f �� i <br /> _...___-____..._____-__ _ __ � <br /> GURB COCK OT � —�—i��--- --�--_- -�- _ _ <br /> SERVICE BOX PLA9TIC -• G I I <br /> -.-- _—.._____-__.__.-___-_ <br /> METER VALVE <br /> __'_— ..__ I _ ._ __ _..___. __ _. ._ ___ -_ _ - _ _____ .__. __'- <br /> MFTER No. L 7�l .S -__ _TVPE_' . . I 'f _-_ —__- - -- -__ _-_ <br /> MFTER BOX iONCRETE SMALL LARGE <br /> - _ ' __._.. ___ ..._. ._ . _ _ _.._ _ _ - _ . <br /> -.' -___-_-_.___.'_.._ ._ _._.I__ I'__ _ -_ — <br /> I <br /> '- ' '-I - -.I'___ -.__ _ <br /> __ ---- _I ____ _____ -. <br /> _-_-'_-_ ________ -__ _ __ _ _' I I_ _I_. i__i_I—._.. -_ <br /> � ON <br /> DATE INSTALLED: -7 �7 � _��,' I n OFF SUB fOTAL <br /> COCf[ I � • L�pOP ANO EO�IPMENfREHTAL MOURB R�TE � <br /> I <br /> .. �,n,rf��c ��, ' <br /> ---`----- <br /> ------ ---- — - � <br /> � -- - <br /> — — ----------- ------- ----I---- --- -- --- --- <br /> --I --------- -- _--- __ � _ _— -- -- -- <br /> ; 9 3�`�-0�3- - <br /> __ --------- - - __ __ <br /> _ � _ � <br /> - - 1 - - - -_. <br /> -� --_ _ _ _ _ _ __ _ _ - - - - _ --- <br /> TOTAL <br /> _REMARKS:_ 1J f A_ f2._C__._... <br /> 1.]1.�-�-_ l,� .___._____._-_________- — <br />