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. , / <br /> A�rL� � � /` I <br /> No. e23 +L CITY Of EVERETT eERVICE ;� <br /> APPLICA710N FOR WATER SERVICE ONDER NO. Y' -• <br /> � PI%[D DAT�/O�'�____iG� <br /> OG <br /> � DEPOSI7 f � � W.O. I <br /> '-- No._________—_____ <br /> BERVICEf�r�oo�[���L'P �a_ � _ -�_BLK.,/�da_LC1K/�3AD���1b++�.� y�� <br /> r—__7'_ <br /> OWN6R��N�i�___ _____CON7RACTOR_—___. — � � <br /> /A F <br /> IN6TALL�I ETERED SERVIC _ _. __ ._ ________ ._____ ---- <br /> I HEREBY APPLY FOR THE US WAtER IN ACCORDANCE WITH THE i <br /> — __ _____ <br />�I ORDINANCES ANU POLICIES OF THE WATER DEPARTMENT NOW ER1571NG � ���L I <br /> OR AS SAME MAY BE NEREAFTER CHANGED. naNco: I <br /> - __—_____________._.—_____— __--_— <br /> M�T[RIAI� W IN. 1 IH. � 1 IH. ' �111C[ IIMOUNT <br /> P��E COPPEq •GALV.•- STEEL � <br /> CORPORATION — I <br /> — _-- _—.—__—._._ __--_�_—�__.---�_--_ _ <br />� CURB COCK OT ___. .____ _—____—._._. I I __.__ I.,. <br /> SERVICE BO% PLABTIC .. C 1__.__________ _ _ --i —_ -- I <br /> ME7ER VAWE —___-__. _. . . .... / �— — --� .. <br /> _ _ . __ — _. . ._ _ <br /> ______ _' _— _ —___—. —"__ ___ <br /> METER No. ��7$ TypE: QppL Q.y I �c <br /> METER BO)I CONCRET �jL SMAL � LAqGE � � � <br /> ._ . __. _ .__�'— _ __— _ <br /> �� // _�--- __ ,_— L� I <br /> --- � <br /> -- -- --i — — — - —. <br /> --- — — — <br /> — <br /> — <br /> - <br /> --_ - -- - —-- <br /> — --- -- . <br /> ---------- - -- --�--- �---�--�-- -- <br /> I � ON <br /> DATE INSTALLED: �// ' �� � OFF SUB TOTAL <br /> COO[ I LAOOpANOEOUIPMENIRFNTAL NOUR! RATE <br /> —� _.���.�c__ _ _ — � - <br /> � _ - - -- ---- - - -- <br /> — b _T�.�so,� - 6 I � - <br /> _ _ _ - -- - - �-- -- - __ -- -- <br /> � _z._r..�.�s4wr,r." —�-� -- <br /> --- - -- <br /> —� ��,r3�e��,�- - �33- -' � - --- --- <br /> —� --'T.-��9r�.rc�c _ - ---- ------ - -- �� - <br /> —�— --- - - <br /> � _ _-- — <br /> _ I ��� _- __ - -- I s. — <br /> - -� y -- -- <br /> TO7AL <br /> REMARK9: <br /> �` <br />