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9 <br /> , <br /> ; <br /> I <br /> �?zQs � ' <br /> APP ' SERVIGE ., ; i: `� <br /> Ho. / i) G <br /> 7 CITV QF EVERETT ORDER NO. <br /> �' - �' APFLICATION FOR 1NATER SEFVICE ,,, ' -�L i <br /> DATE�L-� —iB_S� I <br /> �-FIXED Fyl <br /> � DEPOSIT S 7�i `� W.O. <br /> No. <br /> SERVICE �er�ooacect-��-J�--'—�'�"�� " �L —BLK`t�-��-L0T1'�ADO. `--"'���- <br /> ���._..,� \ , : <br /> OWNER_.l`�?-� `���Z"�-"I��_ _—CONTRACTOR. - � <br /> �i F AT..l--— - <br /> INSTAL� �ERED SERVIC�— — , <br /> I HEREBY APPLY FOH THE USE OF WATER IN ACCOflD�NCE WITH THE Q L� <br /> ORDINAHCES FND POUCIES OF THE WATEF DEPAHTMENT NOW E%ISTING slaNEo: X(�/ ' �,���/�b <br /> OR AS SAME MAY BE HEREAFTEfl CHANGE�. — <br /> Mn1ERlntB 14 IN. 1 �N. I 2 �N. I � PRICE AMOUNT <br /> � / � <br /> p�pg COPPEn y GALV.-STEEL _ I I__ — <br /> CORPORATION � / I I'— ' <br /> CURB COCK OT � -1--I— <br /> SERVICE BOX PLASTIC -• C 1 I I__ . <br /> — — � � <br /> METER VAWE __ —�—�-�, -- - - - <br /> _-- ____ _ . . _._ -_ <br /> METER No. �7py TYPE:�3^ D��/j_ I -� — ' -- -- <br /> _ —�7__aJ—l--- _.. � + i <br /> �METER BO%f GONCRETE C, I• SMAL LARGE 1 '_.. _ — . <br /> �_ - I <br /> -Z ,Z .,= 2•i`t X � ��rf1 P�S D o �C� --- �I � _ <br /> - �„ �.T. .t�l t-Tti�,'�_l �-- I I �-�-- -- <br /> �— �-- - - <br /> � <br /> ���I <br /> ( ON <br /> DATE INSTALLED: / , ` j� `7 [i <br /> � OFF SUB TOTAL <br /> �-1 / t7 <br /> I L11BOq ANO EOUIPMENlPENTAL I HOUN9 RATE . <br /> CODE . I <br /> ��I -- _. /� " .__ <br /> — , �t��---�, Y <br /> I ls7 s' yI�.j� . o � Pc� ��.✓:s�a�-j•��f--,I �— -- -- <br /> _-�------T /� �'l,�z� _ L� - -_ <br /> _� -9����� -���____���_ <br /> —!�r/���=�'�-�„-� ——�.s�`'�`� �–''' <br /> �- a <� –v-e– � �o �; 3' <br /> --I_�%�i_�sy—.s-��,rc,/4-/-�L------- 7� .�if Z �. <br /> -- I TOTAL <br /> REMARKS:S/z,C //'IC/'b4J"C'_ �� C'� .4' /04� � � col�(JI)d f"t�.�", //J4t!" _—�- <br /> d� de/�c�; �; i � ��rC /S" �r�-> �1 • �`t-'" . <br /> , <br />