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NOPL ��vCJ1l/ CITY OF EVERETT <br /> 3ERV'CE <br /> OHDER <br /> APPLICATION FOR WATER SERVIGE O <br /> � FIXED � DATE___.�����D� <br /> � � DErOsiT s n�� yy,p, <br /> /� /y I No.—.—_—.—._-. — <br /> BERVICE ��r �nDe[��7��7�_1��__BLI;..�._LOT—_ADD.__ <br /> OWNER T� ^ � CON7RACTOk__.__ _ <br /> k F <br /> IN9TAL I M D SERVICE_ __ _ _ �—._.. _.___ . _ .._____ <br /> I NEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND FOLICIES OF THE W�TER DEPANTMENT NOW ENISTING � <br /> OR AS SAME MI1Y BE HEREAFTER CHANGED. •icN[o: Jt _ :,y1n��_ _ _ _ __ ___ <br /> M�1[RI�L� yi IN. t IN. � 11N. PIIIC[ •MOUNT <br /> �'�PE �LS jL COPPER•� GALV.-•STEEL 3'�� <br /> CORPORATION �f ISO��S_ __ _ J_� <br /> __�_ __ — <br /> LvnB COCK OT _� I <br /> 66RVICE BOX PLABTIC -• C I I <br /> ME7ER VALVE _ _ <br /> — ._ . ___— _— _I-.- .___ __. __.— .__— __'_ <br /> METER No. _ __ TYPE: I •{ <br /> METER BO% CONCRETE SMALL LAqGE _I_ ___ <br /> �o��Ra�t �Iv� /" T�_(y.G3-_7. S�. —�—I---�� --- – <br /> Q U.av'�__�e�_�-- ------ -L I J— — — <br /> N�5 v �3 ----------- — -=�`-- � — <br /> �,� o r _ i i_ -- <br /> r�.,t�- s��--- - -- --- -- i I <br /> -- ----�— — —_- - <br /> ` Fo�- o rli ---- — — 1 I ��-- � <br /> � ON <br /> DATE �NSTALLEC: �/ �Q �/ � Q p I �FF SUB TOTAL <br /> 7 tJCJ <br /> �COD[ � L�lOp AND EOUIPMEP.fRENTAL NOUR! R�TE <br /> �� ---- --_ --- --- -----s'� �O --- <br /> , -----�'-T�r'"-1 f—"'�—�O — --- <br /> — — __ _3_�_14�r�. � _y- .----- <br /> --' ---- �------2� 3�-�-� --- — <br /> —� — --- -----3-�0�` _ I_.lo._ __ _ <br /> _� - — <br /> __ I ---- --- - - -- - ------ - ----�—-- - — — <br /> _ TOTAL <br /> REMARK9: <br />