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i ��? Q' <br /> '4PP�" � 7 �7 // CITY OF EVERETT SERVICE . - ,' ;; <br /> No. qRDER NO. <br /> APPI.ICATION FOR WATER SERVICE �y7 <br /> Di.T6/f� —�� <br /> � FIXED OO <br /> � DEPOSIT S �db � No� — <br /> � O `�-a��� 5 <br /> SERVIGE lev�oone > (— L07 � ADD. <br /> 0 �- <br /> OWNE � � —(� CONTRACTOR <br /> �� FLA�-- <br /> INSTAL� ETi� ERED 5�� _�I_C� <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOP.DANCE WI7H THE . <br /> ORDINANCES AND POLICIES OF THF. WA7ER DEPARTMEN7 NOW EXISTING �� h <br /> OR AS SAME M4Y BE HEREAFTER CHANGED. eicHeo: X <br /> MRTEfl1AL5 Y� IN. 11N. I21N. I PRIGE AMOUNT <br /> PIPE C(�� COPPER--GALV.--STEEL 3S �� <br /> CORPORATION / OOJ � __ - <br /> CURB COCK OT I I_ <br /> ~ LL � I <br /> SLRViCE BOX ` PLASTIC �- C I j f-1A _ <br /> METER VALVE ___K✓n'2.3 4'yS�W / <br /> METER NO. �- d ..� ��sp TYPE: a�. I "" — � —._ _ — _-- — __— <br /> METER BOX C.ONCRETE SMALL LARGE _ <br /> � Ay� • � � 1^�� �I <br /> /� /K1`�=�Y.'f tiI_ - - <br /> �I�bx IJI_-SA'L'!lt�.63' bol _ � I_ — <br /> SS'� « <br /> —G�O_� _f—� <br /> L- 3 ! •� —1� �_ <br /> I I._ _. <br /> I I <br /> ON <br /> DATE ItISTALLED: / �/� �, US � OFF SUB TOTAL <br /> (J� O <br /> CODE I LA60p AN�EOUIPMENiRENTAL I HOlIRS RATE <br /> I ��2[ft —_.—� � _ <br /> �I �� � � <br /> --� Q�'1����-� — — <br /> —�-- ������2�� �_,oZn, I � — <br /> I _..— - —==Z�� S�-�a�,: �� - <br /> --��_ ----- ---�+�OY-i.�a: � —.— <br /> � .3S c� � tis � <br /> — TOTAL <br /> REMARKS: ! �� MG"�S%�—S�S.i�U�Ct�•?JS�gCI`l�/f)"�I _ <br />