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��� <br />��x <br />C, H <br />�Htn <br />H�"d. <br />yZH <br />fC C] <br />H xl <br />"'��! H � <br />V1 H <br />C�JO� <br />H t7 <br />OH <br />H/��g <br />y� V (q7 <br />9HC11 <br />gy <br />�y <br />C]C7� <br />� � C�1 <br />HOC� <br />�' � D 1�. n %-L iC ' Y - <br />APPL. �i"'7QO� CITY OF EVERETT � SEkVICE rlo 6663 <br />NO. O< I CJO �RDER <br />P,PPLICATION FOR WATER SERVICE �� — � <br />DATE__ �8 <br />� FIXED �,^ <br />/ ,. �`1(L w. o. <br />� nerosir s l.(��/ _ No._ --- <br />� � SERVICE (BY AOOREe])J�/�/ '—�'-=�`^����BLK.. LOT ADO. <br />OWNER_4�1-�—� p CpON'RACTOR_— ----- <br />WSTAL �� MET RED SERVICE - = ���` J .�7/— — — <br />I HEREBY APPLY FOR T IN ACCONDANCE WITH THE A <br />Ofl�INANCES ANU POLICIES OF THE WATER DEPAPTMENT NOW E%ISTING smNeo: X__ � L� t�__ <br />OR AS SAME MAY �E HENEAFTEft CNANGED. <br />MATEflIALS I Y� IN. � 1 IN. � 2 . � � � <br />0 <br />p�pE COPPER •- uALV. _ STEEL ___ <br />CORPORATION <br />GURB COGK OT , <br />SERVICE BOX PLASTIC -- G I <br />METER VALVE NO ACTI <br />METER No. �3��Wi11 be. tak�Y R�BAib%D��_'S <br />METER BO% CONCR�iCdtIOf1S WI�Ma(_� LARGS <br />_ : r.w teven ion onsufiaiion <br />� JJ-IVL <br />�ATEINSTALLED: <br />REMARKS: <br />I � ON <br />� OFF <br />LAOOP ANO EOUIPMENfflENTAL <br />, ___-��_-.._— _ <br />PpICE ' AMOUNT <br />_ =I,I. .._ I � _' <br />I � <br />SUB TOTAL <br />HOURS � RATC <br />TOTAL <br />