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. . .. .. .. �---r <br /> :;v �S` <br /> 3':n <br /> . . . . rq :�'t ' � . <br /> ,,. " ".?1� �. '. . . .. . <br /> � �� ��l'�'�x`r4T yly' t xl } nr.y.,��.... . <br /> t t <br /> iD � .H�' ' . t�� `s:;" ' �?y�t;'„ � . , <br /> C" yy� t � . � .. <br /> x '�'n",aF�u. <br /> H Z H <br /> rCy� . <br /> �H � <br /> CA ` <br /> H <br /> �io �1 <br /> oHr' <br /> � � g <br /> �b (] <br /> H <br /> zy� •a <br /> �+ SP�,� h� pca/�,�.y 5—�-9� <br /> �y H y � / SERVICE O <br /> Q y H • No� ��'3�,� CITY OF EVERETT ORDER N- J O H 9 - <br /> C] t7 N . <br /> � APPLICATION FOR WATER SERVICE <br /> G � � DATE��- r_ _I ___18�� <br /> Cs] � FIXED <br /> � W.O. <br /> H O V� � DHPOSIT s ,'� No._ �— <br /> J`/��.Z 3 '�`2 <br /> �SERVICE ��r�oonu�� .�' � �� �lE�I���L) �� C —BLK.. LOT_�'� qc. <br /> OWNER_��/��`�'������ ��H/�'I�L/�•FEr CONTRACTOR —.1�� <br /> / i/ FLAL �. <br /> INSTALI�METERED SERVICE�-- - — <br /> I HEREBY APPLY FOR THE USE OF W�TER IN ACCORD�NCE WITH THE ! <br /> ORDIN�NCES AND POLICIES OF THE WATER UEPAPTMENT NOW ElliSTING <br /> OR AS SAME MAY BE IIERE�FTEN CNANGED. slcHco: X --_—-------.— <br /> M/�TEPI�L6 �IN. 1 IN. � 2 IN. I 1 PRICE AMOUNT <br /> PIPE ; ..h G�� J4 7 _ COPPER-. GALV.-STEELn _ I � __��- ,I <br /> ��� --� <br /> CORPORATION 'j L �t (} `Z Z � __ __ .— '� <br /> CURB COCK OT —� I '_ _ I <br /> '�' SERVICE BOX PLASTIC •• C I I -- -- _ —'-- —_ - I <br /> ' METER VALVE _ <br /> — - I <br /> 1� MGiMe' A[J(��i!!�_I TVPE: --. _I'_� __ --- __—' _ __ � <br /> '�' METER BOX ONCRETE� __ MAL LARGE _ _ I __ . <br /> ��h�—{3 lh � � c��f 7 � I —l� <br /> '_' I --- — � � I <br /> �E--t-1 � G f,��''�r � _L. <br /> —,-- <br /> 0_1 � r•c,� 3 c, ��-� "3`i? �_� i <br /> '_' j�-D fj-/� � ( n��E� `�� -- -- -�-i— —i� -- — <br /> �� ' I I � <br /> ' O.�TE INSTALLED: ' 2 - / _ �9c I � OFF SUB TOTAL <br /> '_� CODF I LABOR �NO EOUIPMENf RENTAL I MOI1R5 NATE <br /> �I S`�(n�o l03 ------;�O-AE�10N----i <br /> ' � � <br /> � —� � 'y � �/) —W�tt�e T.Sk"en on service I - <br /> � 2 � S tl - --aPplisafions-witlwuFa --- -- <br /> � —; � /� 7���L ____ _ __Baekllow Prevention Consultation I __ _ <br /> ��-t_P��— I <br /> � —I_�-.�- /d�-��r�-- — --�-- <br /> .—i �— — <br /> I <br /> � TOTAL � <br /> REMARKS: _ --�� <br /> _ � <br /> �-ic a � u . <br />