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. - , }t. .. ' . �Y <br /> �� <br /> y ' > I r, 1 <br /> � , <br /> 1 :�^? xa �n'. <br /> �'J i' <br /> , �j• , <br /> No" " `�`"� � CITY OF EVERETT settvice , � I <br /> APPLICATION FOR WATER SERVICE �RDER NO. . . . . <br /> � FIXED DAj��_1B�� � <br /> cj <br /> � DEPOSIT f �D W.�O. <br /> No._ <br /> h 7 • ��� [/� � p� /� D <br /> SERVICE (aVAonn[eal�� .. ��'-�C-r�-c.Plt%'�lC-GlL—FLK._ T1�'S.LADp!1?f� Gfc✓ <br /> OWNER�—a � '✓hL,C�_t_-� GONTRAC70R . C-C.r% �� �/c� <br /> INSTAL ' l A � <br /> ME7 RED SERVIGE <br /> I HEREBY A P�THE OSE OF WATER IN ACCORDANCE WITH THE � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEREAFTER CNANGED. etcHco: . __ _ _ _ <br /> MATERIAlS Si IN. � IN. 3 IN. <br /> I � ' � PRICE AMOUNT <br /> P�PE COPPER� GALV.-•STEEL ��' � � i <br /> '`' —___I�_� <br /> CORPORAI'ION <br /> RUC B COCK OT � I I <br /> SERVICE BOX PLASTIC •- C I I � <br /> METER VALVE � <br /> METER No. --_____. ._ TYPE: __—_�_I `�_ __-- — _-- __—_— <br /> METER BI,K GONCRE7E SMALL LARGE <br /> --;�5�%, i_ l L �% � _�_I —_ --- — <br /> _ I —�— <br /> —� � — — <br /> --- I — <br /> — —' —I — - <br /> I I � � � I <br /> ON <br /> DATE INSTALLEO: �� _ �Z_ �f/ � OFF SUB TO7AL <br /> CODE � �AUOp AND EOl1�Ph�EN f RENTAL � ry0UR5 RATE <br /> —� — --— — —��,�-,�k�== � '3 — <br /> —I /�� � ��, /j—/��fl�ijt� 3 <br /> �0��/f-�---.t�� �-_I 3_ <br /> - _ _ I <br /> _I_ - <br /> -i --- -- -- - � _ -- <br /> � � <br /> TOTAL <br /> REM.aRKS: � . � � — <br /> /' -r,�s�^ C r��,��_ {; . .l Lt .��/e>.�� �, , <br /> l ' ._— <br />