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A�PL. �r��� BERVICE <br /> No, � CITY OF EVERETT ORDER n,o. �� (�41 <br /> APPLICATION FOR WATER SLRVICE Jul 9 85 � <br /> � FI%ED DATE_Y__lY_ <br /> � D[►OSIT � 400.00 W.O. <br /> No._ ___ <br /> 6314 Cad Roa�d 78 Beverly Hille Div. 3, Z <br /> 6c�VIC[ ur�onairn y —__._ — BLK.. LOT__ADD._{ag�t-{gA�— o � <br /> Ada Valdel Gerald C�netru�tion .�. <br /> OWN[A- _ _ . __CONTRACTOR_ n <br /> 3�4u FLAT _ --_.--__ —._--_ — m <br /> IN6TAL�- �ED 6ERVICE—__ _.__.__ " <br /> I HEREEY APPLY FOR TNE USE OF WATER IN �CCORDANCE WITH THE <br /> OIIDINANCES ANU POLICIES OF THE WIITER DEPRRTMENT NOW El(ISTING _� .-.� �l <br /> OII AS 511ME MAY BE HERE�FTER CH�NGED •I(•Heo�N M � <br /> M�T[RIAI� Y� IN. 1 IN.� 1 IN. I PRIC[ AMOUNT N m <br /> ���E L S 'G COPPER -•GALV,••STEEL m O <br /> CORrORAT10N ���_ _ _ � � .1 � <br /> ' --I - — - � m <br /> CURB COGK OT � Z <br /> 6[11VICE BOX ZPLABTIG - C 1 I m � <br /> .+ <br /> M6T6R VALV[ � _ <br /> METER No. ` TYPE: _._ _____.I__4 _ �__ ---_ ' _ ,.r, � <br /> --I � <br /> METER BOX CONCRETE BMALL LARGE '� <br /> .___ _.—_ _ - TI <br /> � O A <br /> � <br /> 1 �, ---- -- �-- - -- - � � <br /> l = <br /> --�— - - - - m .. <br /> 0 <br /> N <br /> ------- I c vmi <br /> I m � <br /> — i �1-�— — - � m <br /> I <br /> � °N ' <br /> DATE IN9TALLED: � � 9�,-C�S I � ppR SUB TOTAL � <br /> � tl s <br /> COO[ L�lORAND[OUIPMENfRENT�L NOUN• RATE " <br /> I '-_ _ � � _�� - � <br /> —� ��Q—�kn �--�— - `^ <br /> � ----- ---- - .�ZJ� -I---��-- --- o <br /> / � -�- <br /> --I 6705 Ol-- -- -------------��� -I�--�-- — <br /> c� <br /> m <br /> —�— �--- - -- - <br /> —�-- — -- -- -- <br /> TOTAL <br /> .lEMARK9: <br />