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No��YY �� C�TY OF EVERETT 6ERVICE _ <br /> APPLIC0.TION FOR WA7ER SERVICE onoER NO. � J T � <br /> � RIXIfD O� DAT 1�a� <br /> � DErJfIT � �� _ �✓.00. <br /> SEIIVICE f• / �t��) � w �.%.(y� ' BLK._ LOT �'� _AOII.���E�G�f7AG�� <br /> OWN�� tl � CONTRACTOR _ <br /> �� � <br /> INETAL, 3�� ERED 6ERVIG� _ <br /> I NERE!► 11��L� FOR THE USE OF WATER IN ACCORDANCE WITH THE /��� — <br /> ORDIN�NLES AND POLICIES OF TNE W11TER DEPIRTMENT NOW ElII571NG F-t� <br /> OR 115 SAME M11Y BE HERE�FTER CH�NGED. ncr+co: -QQ�7 �'� <br /> MI1TE111�L� 941N, 1 IH. IN. I�_� II110E AMOIINT � <br /> !'IrE COPPER-•GALV.-- S7EEL <br /> , CORFORATION <br /> GURS COCK OT I <br /> SERVICE !OX PLASTIC -• C I I <br /> M[TER VALVE <br /> — — _ <br /> METHR No. _ TVPE: � 3f __ ---_ � _ <br /> METER SOX CONCqE7E SMALL LARGE <br /> _ __—I __ <br /> I <br /> � <br /> I <br /> ___ —_I _ <br /> _ _ I -- <br /> �ON <br /> „ DATE INSTALLED: `�__/ y�v I � ppp SUB TOTAL — <br /> I �p <br /> COD[ � L�l011 AND EOUIPMEN'f REHT�L � �10t1R! RATE <br /> i� � ���'����TTi i/ � <br /> I I <br /> I I-- — <br /> ; --��3-�d�-- i — <br /> � i <br /> —i --- <br /> —i <br /> , -- <br /> rorw� <br /> � <br /> 1 REMARKS: — _ - <br /> 1 <br /> I <br /> I <br />