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�ry <br /> Y� <br /> C�H <br /> r x9�' <br /> �? ZF'd SERVICE - <br /> wPP'-, a 7S�'�j CITY OF EVERETT ?e,i" 6�J 6 <br /> N�. ORDER <br /> � y� APPLICATION fOR WATER SERVICE —� � <br /> 'TJ HO DATE_1Ll/��10� <br /> y V1� � FiXED <br /> C7 O G7 � DEP!�SIT s �D (')�` W.O. ____ <br /> No. <br /> o Hc7 , /� �)/ �M � C Er�q�n�rr-/� <br /> � �O SERVICC ��YACDREBO------��—{�KE��+�--�G��- BLK.. \ LOT 31 ADO.--1�l1.f��W�--- <br /> n� � OWNER�� v� � +�—� _---- CONTRACTOR�`/i�SIL�,��----- <br /> H Cy <br /> ZF-1,3� 2 FLAT ' � 7���� <br /> ,�,� �7�T� INSTALI_��— �RED `JERVICE�J _-_ <br /> z —T---- <br /> H H 1 HEREBY �PPLY FOR THE USE OF W�TER IN ACCONDANCE WIiX THE A � <br /> �y p7 OFOINANCES AND POLICIES OF TNE WATEN OEP�PTMENT NOW EXISTIHG �—— �rF <br /> O H ON AS SAME MAY BE HEREFFiEfi CHANGED. emr+Eo: X — �c✓ J <br /> C] Cy N <br /> � YATERIAlB I S' ���I � �H• � 3 IH. , � PRICE � AMOUHT <br /> `' � I � <br /> Cs] p�pE COPPER--GALV.••STEEL <br /> z y v, ----- ---- -- - — I-- -- — —, - <br /> y �y CORPORATION _ _ <br /> CURB COCK OT __ _�� I_ _ _ <br /> SERVICE 807C ' PLASTIC -- C 1 I I__ . <br /> _— _—_—__.'__ _ _ _ _.'__'_" I <br /> _METER VAWE ' _ _'_ __'. '_. _ _ ' '__..__ __'_ '___ <br /> METER No. �_'.-- .___ TYPE: �i `� ____ '-- '— _' <br /> '��' METER BOX CONCRETE _ ' _ _ SMALL LARGE_ ___ _ _ _ <br /> I _I_I'— _— _ <br /> __ _.--___—____ — ._ . ._—__ _I I <br /> ��..: _� �— —_'—_ _—_"-� —__I—' _ <br /> I i <br /> � _—____ . _ . __— �I_ --I—_ —_ <br /> p." �' _.___'_'—__—_'_ " _' __— I —i i I— <br /> _— I <br /> �� <br /> � ON <br /> DATE INSTALLED: �C �I �O I OFF SUB TOTAL <br /> I CO�E � L�BDR ANp E0�11PMEHf RCNTAL � HOURS R�T[ <br /> ' .> � <br /> I I <br /> ____-__-_____- _' ___._- - ._-___-I___. __--__ - <br /> I I <br /> t�.., _S I — �_'-___ _—_ —__' <br /> I _— '—' <br /> �' � —I— ___——_._'__---_ — II__—. _' _ — — <br /> —i _--- '_---i'__'— <br /> " TOTAL <br /> REMARKS: / _ l��2_1���='—��— __--_' ' _ '.___�—____""—„ <br />