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� � � <br /> � � wb <br /> C M <br /> b H N <br /> r <br /> M �S. <br /> H H <br /> K (] <br /> y Xi <br /> b N '9 <br /> N F+ . <br /> � H � <br /> O M <br /> HroR� I SERVICE ND 7 2 5 9 <br /> z M � APPL. 7 L'���� CITY OF EVERETT ORDER <br /> q y � No. !�� APPLICATION FOR WATER SERVICE r .I Gfh�C, �B� <br /> t� DATE�=t3-- <br /> 1-I H <br /> p �� iy � FIXED �o W.O. <br /> � � � , ❑ —�Ls� TO POSTINC _�;L� ;,;. Na.— � S�,� <br /> oePosir s ^7� <br /> H O N /y ' J /�Q y� LA�I � BLK.. LOT_7-�—AOD.--�L� <br /> SERVICE (eY�o/D�RWe)---(-1���—{���IM-�� <br /> /7"I�Pr� � IIYLI ..�a —��� —.—GONTRACTOR '— <br /> OWNER_—�--��'--_—� —7 J <br /> 3 � FLAT � /�:�,S'�� . - <br /> INSTALL.��METERED SERVICE — ��� <br /> I HENEBY APPLY FOR THE USE OF WATEN IN ACCORDANCE WITH THE gjGNeO: % /�j,tv�/A� <br /> O't01NANCES AND POL�CIES OF THE WATER DEPARTMENT NOW E%ISTING GEyL _ <br /> OR AS SAME MAY Bt MEHEAFTER CHANGEO. I ppicE wwour+r <br /> w�H. , ��. i : �H. � <br /> MATERIALS I I <br /> P�PE COPPER•-GALV.--STEEL __ <br /> — I —�f____� . _. <br /> _:ORPORATION — I � — <br /> GURB COCK OT —I <br /> - � SERVICE BOX PLASTIC -• C 1 <br /> I� �� _—__ —_ '__' __'— <br /> _'— <br /> I ' METEP. VALVE ____._--- --- -I---'— <br /> � _ — _ — <br /> TYPE: �s _ --- <br /> I <br /> METER No. —_.. _. ___--___ .__— . . <br /> SMALL LARGE I_ -- --- <br /> . METER BO% CONCRETE _ _ —I <br /> �-- ----�— �!— <br /> �_a i t_ <br /> —� --�—, _ <br /> — ----- --i- �-1— <br /> �— —---- —i i —i�, <br /> i N <br /> SUB TOTAL <br /> � DATE INSTALLED: � ( �f �� I OFF <br /> I �_ R�TE <br /> N� _. <br /> I LAOOR AN�EOUIPMENfRENTAI <br /> COGE <br /> � I�� I� --. "_---- —_ I____ — " <br /> __' --� f . �.. �i�l�l1\i I __ —___— <br /> I-- �__—�_____ :(VI:.`J I _ —_ <br /> r(i.l� Ei� .d:�. <br /> �_��—��� --_ � :il'•F'�'C"a�l��il_� .,. _lJi - � _ <br /> �__. �� —_____—___--.---f!�,,,,,.�`.;-.-..-�-'--_-` <br /> �_i.—__._�__ _—�— <br /> I TOTAL <br /> REMARKS: ��� — uv �--� <br /> u <br />