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` <br /> i <br /> '�PP��O� � CITV OF EVERETT gERVICE <br /> No. OROER NO. . � ' I <br /> APPUCATION fOR WATER SERVICE /)� Q p� <br /> DAT�CCG__!J__-_iD/L <br /> � FI%ED <br /> � DEPOSIT f 6Q� p�p�- __ <br /> __- <br /> SERVICE �er�o�o/n�..�/ '_- _ __�/Xf'�'����-_.___BLK__-_ ___LO7�- ��y-,bY<�-:J_ <br /> OWNER�1.-_ _ C�i�.�..I!"�(L-�NTRACTOR ---_. -.---._.._.. <br /> �� FLAT <br /> INSTAL�_.tFt REDFERVICE-�__ _ . .___._____-_..__-. __-_ _ __. -._ . . ._- -__..._ ._-__ <br /> 1 HEREBY �PPLY FOR THE USE OF W�TEN IN ACCORDANCE WITH THE �, ///� �{ <br /> ORDINANCES AND POLICIES OF TNE WA7ER DEPARTMENT NOW E%ISTING / !/ a ��G� <br /> OR AS SAME MAY BE HERE�FTER CH�NGED. ei,Hro� % (..iL! --- - -- � <br /> M�TERI�I! Si IN. I � IN. l IN. I I �� _ PA� AMOUNT <br /> PIPE COPPER_GALV.- STEEL �I I <br /> . i_ ' __-- __-- .._._ '____' <br /> .__. .. _ _.. . . . . ._ __ <br /> __--.. ___ ' .. <br /> CORPORATION 4 I I __ _ _ ___ <br /> - - -- - - -- -1--- __-� -- <br /> CURB COCK OT � I ' <br /> � I <br /> ____ _. __ _ . . .. _.___ . '-__. '_'_" '- . . _ .__ __- _-__" <br /> SERVICE BOX PLASTIC - C I � <br /> - ___'_._ __ . . .__ _+- i __ . .. _____ '_.- —' <br /> METER VAWE '� <br /> __ --..-___ .. . . , � .._ . __ ��f� . . ___ ._. ._ <br /> METER No. TYPE� ��'` � I _ , . . . _ __. .. <br /> __ _-. _ . _ _ _ _ _. _. __ -_ ..r _ _ _ <br /> METER BOX CONCRETE SMALL LARGE I �___ I__. .- -- -- <br /> i � _ --�-_ I � / <br /> " '_ _ _"' __.-__. - '-'_ .� _. ' _ __-' <br /> � I f ' <br /> a <br /> '__-.'-_ '_._.._.___ _-'__ -' '_f. __ - ._ .. ... -'- _' <br /> _ , <br /> I� ,�""' -ZI _ <br /> _ -- '____ . __ . _ � �__I . . � _ . _ . _ . . . --- --- <br /> -------- I :- <br /> I ` <br /> ., .-./ <br /> . .__ ._..I .I ---i - --t . _._..- -- <br /> ------ - - _, . .I�, , �"' r� 7, <br /> f.I ON SUB TGTAL <br /> DATEINSTALLED: I n OFF <br /> cooe I L�BORANDEOUIPMENfREHTAI MOUPE H�TE <br /> � <br /> I _ . . ... _ _..___ '-_.__I...- _. ._. . _ . _ <br /> _ _. . _. . _ ._. . . _ ._. . I <br /> ... .. __ _. '_ ' -__ <br /> -._ __..' _-__ _ . . . . i <br /> — _ _ ._'_ <br /> --, - - ��,�53�63 i <br /> � --- - --- - --- <br /> -- -- <br /> � � -- <br /> -- -- __ - __ --- <br /> i <br /> � .. <br /> TOTAL <br /> REMARKS:� / <br /> �.. . ._..-y .!!�_'__'__ _'--'___'_--.___--__-__-_ ._.' <br />