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• T � <br /> M �� ' . . <br /> 4 ''9} � _ <br /> .i:'�� f <br /> . K'�' �-�';�. <br /> -0 y�'_ <br /> 1 �``M� <br /> API-L„����� C1TY O� EVERETT � sERvicc ���'� � <br /> Na ORDER N <br /> APPLICATION FOR WATER SERVICE ( �'Y <br /> DATEIJ'?'z —18�� <br /> � FIXED � � <br /> /� W.O. <br /> � DEPOSIT s a39 No.— — <br /> SEFVICE (BY ADDRE88) _ .� ( � �iC�_ t7/IC L�i%"ADGIS�Y^ �� <br /> BLK._ <br /> �fi' GO� C. <br /> OWNER� �� CONTRACTOR_-_-- <br /> /� F <br /> INSTAL�1�_ ETERED SER�-- -- -- <br /> I HENEBY APPLY FOR 7HE u5E OF WATER IN ACCORDANCE WI7H TNE ��/� /J-+M��/��.�p,-�/— <br /> OflDINANCES AND POLICIES OF THE WATER UEPAHTMENT NOW E%ISTING eicNl:D: % C�'2 ` 7=�'-'�=�J� <br /> OR AS S�ME MAY BE HERE�FTER CH�NGED. _ <br /> MATERIALS +Y� �N. 1 IN. j 2 IN. �, 1 PRICE AMOUNT <br /> IPE �/�S�(,C� COPPER-- GALV.--STEEL _�[`G� I� <br /> CORPORATION � T -- <br /> CURB GOCK OT I I_ � <br /> SERVICE BOX PLAS7IC -- C I I . <br /> —_ —_- —_—_ —� —_ <br /> METER VALVE ___/�_._. ____.__ _ — -- <br /> METER No. I --__'__--- __ TYPE: (�.qD�^1 I �f I _ —___ <br /> �_G�_ 9 0—__ -_.-_.-�, - - - <br /> �ME� T R Ox / CONCRE7E . L SMALL; LPRGE_ � � _ , <br /> �'. ____-� _ � <br /> R�� -- - -- —�—�-- — <br /> fl-is���---- --� �— — � <br /> �.1� //�6'- /��a a�l? .SAD� f_—! —� -- — <br /> - — _I_ <br /> �DO rc GeGO M-AC---�T� l� —I--!� �� � — <br /> rN O N <br /> r{� SUB TOTAL <br /> �ATE INSTALLED:� �O� �� � OFF <br /> CODE � LAODR AND EQl11PMENf RFNTAL - I HOURS RATE _ <br /> I `�-�'-7='-- __----� 'r � -- — <br /> -- —_ - -- ---- — J I <br /> I ���_._�r�G—s-- — <br /> . ..^ --� -- — � r / —I -�' -- - <br /> i -- ����� ,k 3 z s-�-.t-- - - <br /> -�--------- ------- -�-- - <br /> --- ------- <br /> _--- -- ------�-- - - <br /> — TOTAL <br /> REMhRKS: CG�i)/>l !—L .G�LL--_—_ _—_.__ _— �—__-�- <br />' � <br /> II <br /> 1 <br />� <br />' <br />� <br />� �. . <br />