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APPL. �1I _�`J/yI CITY OF EVERETT BERVICE <br /> No. O�(IJ 11 qppLICATION FOR WATER SLRVICE ortoen A'p � O 8 <br /> IV /y <br /> � FI%ED � DATE_-__—.f' 'I�.. <br /> W.O. <br /> � DEWfITs _ No.—._—__ ___._-_ <br /> sE11VICE I�Y�DD�n�I���-��-- --BLK._--��---�D-�],.T <br /> ,� � 9/'1,.. c�J� <br /> OWN[ CONI'RA T ��-7� <br /> —__—_ <br /> �1 � � FI�F <br /> IN6TAL u ETERED SERVICE -__. - _ -_-- — --- ----- -��------ <br /> I NERElY AP►LY FOR TME USE OF WATER IN ACCORDANCE WITH THE � <br /> ORDIN�NCES AND POLICIES OF TME WATER DEP�RTMEN� NOW I'IISTING <br /> OR AS S�ME M�Y BE HERE�FTER CHANGED. •IGr+co: X L_.__. . . . -_ ... _ _.. _. ___ <br /> MAT[Pl�l� W IN. 1 IN. i 11N. , � PNICE •MOl1NT <br /> rIPE 1- LA,`1TI�l _ �'PiR-GALY...S7EEL r " I � ____ <br /> —_. ___.. _ r_.__'_— . _ <br /> CORPONATION I � � <br /> ___-.--�__—__-.—___'_— .-- ._� <br /> CURS COCK OT I I _ _ � <br /> 6ERVICE BOX PLABTIC •- C I I _ <br /> _ _____ __ __- _. . - — <br /> METER VALVE _ I _ __ _ <br /> �/_�_�� �. ..__-_. __ . (.�.. _ I -.. .__ — _ <br /> _ ___ __ _ _- ' <br /> METER No. /c�(L—;v--_-_ _.TYPE:If.-.��L�IJI���.i I S__ _ _ _— I <br /> --,.__ _._. _. __. <br /> MlTER BO% �-60YfCRtTl��(R���C'1MALLJ LARGE I I . <br /> �-�- (�_..__- _ ____. —_ —�_. __- _ _ <br /> f�'•VIA�'' -f"AP 5� f' ,� (n,,,�-��_�,��L`i"�Q --� �—�-- <br /> -��-`� � --- --�� � _. — — <br /> ni�r,i c r��� �i� �----�— �- ' --- - <br /> --- � -+ <br /> ---- <br /> .N I(: 'i(� i,.�.-��lf'$'iA1�-�,illP.�-=.�,�' _-. _---- -- --I- --- - <br /> ------- - -- --- — --'-- --- - <br /> ON <br /> DATE INSTALLED: %)j� _ �� _ ��� � OFF � �-� ��� � SUB TOTAL <br /> I COD[ � L�lOp �ND EOtIIPMENf RENT�I NOUN! �R�TE <br /> � �- -_L.l7XE.l=�"''a-a-L"`�- - � - -- <br /> - --- -- t . . <br /> —I -- - --- '-'�'•�f`Lt---- ; —�-�'-- -- -- -- <br /> —� --- -- �a1�-1 --- . � _ '- -- <br /> O�`���� C>`� ---a!�'� -- ---- __ �-j'- -__ _ <br /> � � i <br /> - --- - - - ------- <br /> ; � <br /> - � <br /> TOTAL <br /> REMARKB: <br />