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"1 <br /> HOM <br /> � � � <br /> o � z <br /> C H <br /> �Hti <br /> y � H <br /> K C] <br /> H xt <br /> oxo <br /> htl H �i7 <br /> V1 H <br /> H <br /> � O <br /> H C7 <br /> OH <br /> n�� NOP�"' ���I CITY OF EVERETT SERVICE �� 6324 <br /> ORDER <br /> ~ APPLICATION FOR WATER SERVICE <br /> z H t��,�_ �3. <br /> � y z FIXED DATE_ 1 <br /> H H � / „ic'� w.o. <br /> �,y V) � DEPORIT i 1��� No._ _. <br /> O Ct7 V� ' �/ I ql� I I <br /> R7 SERVICE (�r�DD�un �-/_y-p-I�t)/�C� �./ BLK.., LOT O.OD. <br /> � � <br /> N O� OWNE �('� r` ' CONTR.:CTOR__ _ <br /> W FLAT �] <br /> INSTALI�-��— RED SERVIC J�z��'�' -Z� - �-- <br /> I NEREBY APPLY FOR TNE USE OF WATEN IN ACCONDANCE WIiH TNE ... _�,�� -- __ -� _ <br /> ORDINANCCS AND POLICIES OF TXE WATER UEPARiMENT NOW E%ISiING � -- �� <br /> Oq AS S�ME MAY BE NEREAFTEH CHANGED. e1GNED: 1< . ��__ _. _----_- -. . - - <br /> MIITFRI�LB X IN. 1 IN. �� IN. I � PRICE AMOUNT <br /> PIPE COPPER--GALV.••STEEL __ __ I � _,I I _ , <br /> CORPORATION 1 I <br /> CURB COCK OT I I <br /> SERVICE BOX PLASTIC •• C 1 I <br /> METER VAWE __ __ _— _ __--.I _ - ___ —_ __'- <br /> .� METER No. ___ . . __ TYPE' _____I__f � _'_ ' <br /> I �� METER BO% CONCRETE SMALL LARGE __ I _ __ <br /> I _�_ <br /> � �,�� --� _ -�_ <br /> �� I <br /> - --� �- <br /> I I I <br /> � „P <br /> ' DATE INSTALLED: (�' � /�� I � pFF ,����� SUB TOTAL <br /> COOE I LABOP �NO EOUIPMENlPENTAL HOUR9 R�T[ <br /> -�►� ����L— - ---�--- — <br /> I I <br /> i � <br /> �+.1.►' —i - - i = ---- -- <br /> � � — — —� — <br /> ����,1 _ I <br /> TOTAL I <br /> REMARKS: ; �W�y 27���L� __ _ <br /> .. , � t :£`a'^' . ... .,. . <br />