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�� � <br /> �� � <br /> >HN <br /> ��N <br /> �'� <br /> '�F-i 'OC <br /> W 1-� <br /> x <br /> ��� <br /> �y � � ' ' � ' -;P`"r Sen; to pvrf,ny s7-�% <br /> F"� �v � A�PL' .� � � �O �CITV OP EVERETT SERVICE �O �O O 9 <br /> �y � ' N�� APPLICATION fOR WATER SERVICE ORDER <br /> �H � Fixeo ;r'�z<P %��r.7�r/ - o�re 9-��—iaSo <br /> g�� . ❑ oEros�r : �sa'= TO POSTING a d� �°— —___— <br /> �r�� ,/�/� >1 ����L ��'�`t-BLK.__LOT_ Z' ADD. <br /> y��� SERVICE.(�Y ADCI1[tt1 ���� G�'L' � v � <br /> �.' H V� OWNER_�� ��"""�"'' CONTRACTOR _ <br /> H O�n J? ' �L� � —�/�--- <br /> INSTALL�_��L—_METERED SERVIGE —._ \ —.— <br /> I XEREBY APPLY fOR TXE 115E OF W�TEM IN ACCORDANCE WITN TNE n <br /> ORDINANCES �ND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING A��� �,"�Z�,�'", <br /> OR .S SAME MAY BE HEREAFTER CXANGED. •icr�eo:Xv _ _— _ —_.. <br /> MATERIALS �IN. 1 IN. I 3 IN. � I PFICE AMOUNT <br /> plpE �y��j�j LJ7 COPPER--GALV.-STEEL',J7��� , _ I_ I _ _ <br /> GORPORATION ����J� y� � _I —� � <br /> CURB COCK OT I I � <br /> SERVICE BOX ��PLASTIG -- C I <br /> METER VAIVE 36!/L'S1_ N�-1 Z .�__ � <br /> - — --- -- <br /> — -- <br /> � METER BOXQ CONCRETE� MA LARGE�� <br /> l�'�Y' OODS16 Z `'17 TVPE: __ ___ __ _ __ <br /> '���� ����� �----.�— - ---- <br /> t <br /> . � � ,.� y y/�L�$ I 7 � / i —�—�-- – <br /> , ' � � ,, ; � i�{: y % � / �I I—{— — <br /> —�-- <br /> ��•� S� � ; ��/]< i�ti7 � , � �� - <br /> �,- � <br /> �� G.3z.r.�' '' i �.�, � i,�/,�2, -- �� - <br /> � � - --— � � I�—; - — <br /> I �� <br /> — ON <br /> ' DATE INSTALLED: J/ �� �/�`� I � OFF SUB TOTAL <br /> / <br /> ' COD[ � IABOH ANDEOUIPMENTRENTAL � XOUNS RATE <br /> . '' � �I� �6 �O�G2 —_..._ — ._— ---li— <br /> � <br /> i �/�lE�dOv:;% ' <br /> -��?��-l��� �- - �-- - <br /> _v�� ; <br /> � ����� —'��__- ----- - -- <br /> � �� ! �_; SQ-.��--- ---- - - —... -- —---- ---�---- - <br /> ��i `!I- - ----�-- - <br /> � TOTAL <br /> REMARKS: � �� :.- � ' � <br /> �'.__'��—� a_- __J..� � . <br /> � � a � a �r� � <br />