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, <br /> �'..., <br /> -rc �_S-��.��� <br /> ' ' .• � NOP�' aC�(�a GTY OF EVERETT �-zc`-��� ORDHRE N° 6859 � <br /> � APPLICATION FOR WATER SERVICE '�y� 2 a� <br /> � � DATE VJrJ�Iy21G//J <br /> i �FIXED <br /> I <br /> � _ � DEPOSIT f 7� M�. O• <br /> INo. —____ <br /> '� SERVICEI�rwoo�p��_�J�,�.�L� ������itl(X��L`� BLK.- LOT._ ADD. <br /> OWNER--1'JQ! (.Y ��� _ GON7RACTOR _ _ ______ <br /> ' ' �-s�-�� - - - ---- <br /> IN9TAL METERED ERVIGE—_ I i <br /> I HEREBY APPLY FOR T USE OF WATER IN ACCORDANCE WI H iHE <br /> ORCIN�NCES AND POLICIFS OF THE WA7ER OEP�RTMENT NOW E%ISTING <br /> OR AS SAME MI1Y BE MERE�FiER CHANGED. eicHco: X —___ _. __ _._____ ___ _ <br /> M�iERI�LB �41N. 1 IN. � 21N. I I _ _PA�CE AMOUNT <br /> IPE . Ob O/� COPPER-• GALV.•• STEEL � L _ � _ <br /> CORP � .J�O�UT'7 — � I� �I __ <br /> CURB COCK OT _ __ ____ _I I I _ ( _ <br /> SERVICE BOX PLASTIC -- C I <br /> - . _- ..-_--- I =�.__ � — <br /> «��•.� BQrtispla(_[�3 y[I��y 7�/.Q- / r — -�--— - _ - --- <br /> ET . Jtoa+(fJ�nT y) � �K'Q{D 3�f71 �. � . <br /> METER BO% ��CbFCRE�TE �7� SMALL LARGE � —I_' _ _ <br /> —�bQb_IO`f'_Z------ - -- — � —1--�— --- — -— <br /> --�'� � ��_�8�_�_ L� <br /> �Ol_ 7o y�-- �-�i �—!-- — -- — — <br /> � -- -- <br /> ��3 3s�{7 — --- — I I — �—i-- ---- --- <br /> 3��o�4�`�7---- �—�- � -- -- - -- - - <br /> � i , - - - — <br /> �"� 7 q-90 aN <br /> DATE INSTALLED: i I � pFF SUO TOTAL <br /> COOE I LABOR ANpEQU1PM[NfRENTAL NOURS NATE <br /> I- ---- -- --- - - - -- - � �-- ��I --3_ -- <br /> � i�.0 i;C110P! _ � _ -- -- <br /> -- -- - — —3 - - - <br /> _ _ <br /> -- — — - _ <br /> __, NJill be taken on service 7 <br /> applica ions wiElfoiif-a--- ---- — �l�cgC I- -- --- --- <br /> --� —3aciFflow-Pievenlion-GonstitiEatioi3. .-- -'��(��J----.-3. -- - - <br /> -- — <br /> � - --Qr.r 4?�::�r _ � <br /> - -- - <br /> - - -- - - - -- - - -- <br /> ---I ---- - - - -- - - ---- --i - - - -- --- <br /> TOTAL <br /> REMARKS: ��9-V-4i� 1)�rrrr?7-.o_.:.._. 19r.-f:tr.r; �.. 1.�� �T - � <br /> nr.! l��.Jn .IiL'Iv>fi, !.•�:r >' / <br /> ' _ _ _ —_ _ _ . . . _ _. _ ._ . ._ _ . . . lL'.tt=`' . ._ �_ <br />