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nN��. �l/��� <br />No, <br />� FIXED <br />i... <br />� DEPOSIT 5 ,�,%�%,_ <br />APPLIGATION FOR SERVICE <br />CITY OF EVERETT WATER. DEPT <br />SERVICE r�� 9 � ; <br />ORCIER-'� n <br />/ i, �, ; . ; <br />D:.T�-L,��� `_-� ` _I9-=-- <br />W. O. <br />No.___ <br />�? �S� � ' ' ,7 <br />'� � � ' _E-� ,L—i'='-'L<'�_iv <br />SERVICE (BY�ADonEes)=� �l� �� GLK. LOT � ADD. <br />� � <br />OWfYER��1` �C C1�I /l7_'�.i ��tLi 1' �� r�'�T �iOR_ ���_l '�'�t <br />�EL'AT . � • - C <br />IN£TAL�_METERED SERVICE___ <br />I HEREBY APpLy FOR THE USE OF WATER IN ACCORDANCE WITN THE . /- �• <br />ORDINANLES ANU POLICIES OF THE WP.TER DEPARTMENT NOW EXI:TIkG �% / � <br />OR AS �dME MAY BE HEFEAFTER CHANGED. 9icr+eo: X._( i_ �, .�'� ��"`'��1:%?-C!i/ <br />z�_•— LI_. <br />� \IATEPIALS _?i IN. I 1 R!. I 2 PV. I I .� PRIC�E ( AMUUNT <br />PIPE �COPPER'" GALV. -- STCEL _____ _ �,5� I I � /�3 I�� ��J <br />CORPORATION / I^— �i ���� <br />CURB COCK OT I � II,__I <br />SERVICE BOX PLASTIC -• C 1 —_ —I I � <br />METER VALVE _ � � j�� <br />METER No. LI y���.S��eQ�� TYf•�% i j �I �'S <br />- - ---� 83i" � <br />METER BOX CONCRETE S'�AL�� A I/ <br />I � ON /I <br />DATF_ INSTALLED: �,._ / y ! y G1.pFF ��j / <br />� L.f�L-? <br />CODE I LABOH RND EQUIPlAEIJ1 fiENTAL <br />I j.,�, .. _ <br />C �h <br />SU6 TOTAL I ��%,yy,�, <br />iURS RATc r `/ <br />�_'�7- /% <br />i � <br />t -�I i J �_- <br />- �- • i� <br />II ! <br />- li I - <br />- II��- � <br />T— oTaL I� //,/I'/� <br />REMARKS: <br />,r/ _--. _..--'____ _-- _.. __....'_—__ __—__._ - <br />'_' /—L /— _'_ __ .. _ � _ _ . . . . . " <br />