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��� <br /> ay <br /> C�H <br /> 9HN <br /> y �H NOPL j� i C�' � C!TY OF EVERETT RD6RE ;�f0 G536 <br /> APPLICATION FOR WATER SERVICE �� <br /> �,' , `tir. <br /> �� <br /> O �O ❑ FIXED OATE_ I�� i.__�g=� <br /> y y� � � r_�� TO POSTING-_-'--_?-�;- �, -- <br /> v - <br /> � oEPosir s �; r w•c. <br /> No.-_ <br /> z� . � � � <br /> � � , .-= ,/' � �/' <br /> � yd SERVICE� �J�y�oo�ut� �� � - � � 1%� �J.,.�(� ( ��/ _;�„rI BLK._ LOT__ADD. _ <br /> I-�-I Ci1� OWNER V/ �I�( � ')� / � �/� ' � � � <br /> CONTRACTOR <br /> (.]� CJ �' FLAT-� <br /> INSTAL� <br /> H � , '-METERED SERVICEi-.— __ <br /> 7 H I HEREBV APPLY FOR THE IISE OF WATER IN ACCORDANCE WITN THE <br /> OPDINANCES AND POLICIES OF THE WATEH DEPARTMEHT NOW E%ISTING M/�C�- <br /> t" H y OR AS SAME MAY BE HEREAFTER CH�NGEU, nicn[p: X . . __ _ _ . �[<�— <br /> g �, � <br /> M/�TERIALB )G 1�. 1 IN. 3 IH. <br /> H I I ' I �RICE �MOUNT <br /> �qg d y P�PE COPPER--GALV.--STEEL I � �- <br /> tt1 �C�] <br /> zHN CORPORATION __—f _ —_I —_Ji <br /> H O V1 CURB COCK OT I � <br /> I - _ _ I <br /> SERVICE BOX PLASTIC •- C I � I <br /> METER VALVE r I <br /> -- '_'.— ___'_ '____'..r_ _' ___� __'.___" '_"-' _ _- <br /> METER No. __ _ 7VPE: I 'i • I <br /> METER BO% CONCRETE SMAL� LARGE � <br /> --- - --- ��' - � -�-�-- - <br /> '� `� _ .. n n�T�C]N -- — � �— <br /> i <br /> ._ ! ----- . � ' I � - <br /> i ^-M ' --{ — <br /> _—��f,�a{lpi�:_i�lillnaLL2 a_ � I _ <br /> �� � ��}:tinw Prevenlion GonsulWlidl _ I <br /> SFE INSIDE _ � <br /> , � �� <br /> — ,,. <br /> ! ! DATE INSTAI.LED: 7 �� � ��O �pFF '/ � �� SUB TOTA(. <br /> 7 <br /> CO�E � , LAlOP AND EOUIPMENfREYTAL�/ - I NOURS RATE <br /> ( ('�� I �. �� ; �'.^��� / :� -- � <br /> —� —— --I — <br /> I I _ _ <br /> !�i — ---- -- -- — �— -- <br /> --�- -- - - � <br /> ���� _i —�— <br /> TOTAL <br /> „ .• REMARKS: I c�95-F� ��_;<- i17�'!-�E� �e =/c�- <br /> - --�--- - --- --- ---- -- <br />