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� <br /> i <br /> APPL. �'j3 i/ r , <br /> No, o'� 7 qJ CITV OF EVERETT BERVICE � �- , <br /> APPLICAiION FOR WATER SERVICE oRDER/,NO. '. . � ''r rS <br /> n FIXED p y p'j <br /> - h�a�2�-'O?/_._--10 "�i <br /> �, DEPO8IT f / � <br /> Jo_O_.___ W.O. <br /> � � , No.____ <br /> _ __'_�-.�—.�.�. <br /> SERYICE I�r�eo�ro�>___�fa�- �__�__ �,[___�.�y� ��q�y(�!o <br /> � -- . BLK. _. .___LOT__( /C �"-`D6'�- <br /> OWNE��i�y_��xG-(��_�� .. ._CONTAACTOR. __ ___ <br /> � �� F - ''7F1.. _ __ _. <br /> ___ _..— _. .—_ <br /> INSTALL ' �1_�__{�RED 9ERVIC _ _ _ . <br /> �—/ ...___-___—.. <br /> . .--_—__.. _ _ _ <br /> I HEREBY APPLY FOR THE USE OF W�TER IN ACCORDANCE WITH THE � <br /> JRDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING . <br /> OR �15 SAME MAY BE HEHEAFiER CNANGED. eioN[o: 1( ��`?��� <br /> _ __ _ .____ i <br /> M�TFRI�L! L' IN. I IN. � 3 IH. � <br /> "� - � � PNICE •MOUNT <br /> P�PE COPPER-- GALV. �- SfEEL I <br /> ___ <br /> _-_ . _-____ <br /> - ___.. _'_'___.'__ _____ <br /> _-. ____-_'�__-_ <br /> CORPORATION - -� — — <br /> CURP.COCK Ol_ ____.___.�..--_�_ - — I — I --- -� <br /> SERVICE BO% PLABTIC �� C I I -" <br /> __-.- _.. _ __ .___ .. <br /> ..._ __.__'____ _ <br /> METER VALVE -'-- - —� <br /> .-- . _ _ . .. ._ ' <br /> _. __- __-- _ _- _ <br /> METER No. �� - -�-- -- -- --- <br /> '_ - '_ <br /> TYPE: I �� <br /> ._'_.--. —__' _ <br /> -____ ._____ . __._.. <br /> METER BOX CONCHETE SMALL LARGh <br /> - . _. . - -.-.-___I i <br /> _—_-_ --' <br /> L 31 -Z-3 ._ _ -_ - <br /> - __ __ -- -� - - -- <br /> - - -�- - <br /> ------ <br /> _ _- -- <br /> � - <br /> --� -- ------ I <br /> - ------ - --�-- -- -I-- --- - <br /> - <br /> - --- - - - --- ---�---i- i _ -i-- - ---__ - --- <br /> ON <br /> DATE INSTALLED: / � ��� �']� I ��� pFF SUB TOTAL � <br /> CJ <br /> i <br /> COO[ � L�BOq AND EOl11PMENf RENT�L HDUR! p�T[ <br /> ------ --__ S, J�X L/f I <br /> -- 1 <br /> _ <br /> - -- _ _ <br /> -- ----- - - --,�, /�+�re J- �= - - <br /> � _ _ — -- -- <br /> --- .Yt�//% � I '� I <br /> , -- � - -- <br /> � � 9� a3 , _ <br /> — _ _ _ <br /> --- — <br /> —, -- - � _ � <br /> ----- -- --- : <br /> -- TOTAL" -���-� --- <br /> REMARKS: <br />