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�I StH�.��E Na 7 g 8 7 <br /> ����. 29y3� CITY OF EVERETI' oRoere <br /> No. APPLiCATION FOR WATER SER��/[ICE / ��/] � 2 <br /> ��XED <br /> .J��/�0 / • DATe!-t�.��J - ._tY—_ <br /> ❑ DEWlIT �_ TQ PfltTit�G_ s._i G -��/ N O. _._ <br /> -. 1� �/1I <br /> •ERVICE1�vwooeun��—�-"��—""�— BLK.__LOT-�AD�'�� <br /> � ��/� _CONTR�GTOR - — -- -- <br /> OWNt <br /> 3 FLAT <br /> �igpEQ3lRVICE---- - - "-- --- <br /> IN3TAL �— <br /> I XERElY AP�LY FOR THE I15E OF WATEV IN ACCORDANCE WITX THE <br /> OIIDINIINCES AND POLICIES OF THE W�TER DEP�R7MENT NOW EIt1571NG �i�HEo� --------- ---------- -�---�-- <br /> pp AS S�ME MAY BE HEXE�FTER CHANGED. <br /> M/.TEfll�l{ Y� IH. 1 iN. � 3 IN. ��L� PRIC� wMOUNT <br /> .����� -_� . <br /> � rlrE _ COPPER--�:ALV._-STEE'-____ �_'�l——_ — <br /> I <br /> CORrORATiON — -- --, — — � <br /> OT I I I _ <br /> CURS COCK — —I I -- <br /> SERViCE80X PLASTIC -- CI_ _ _ ._l._ -- -- � <br /> METER VALVE TYPEN �J, •y �— _--.II '—..I. __— —.—_ _ _.— _—'— <br /> - --- - I 1 - <br /> METER No. �� _ —__ ..�___—_. _ _ _— _. ._—_ __ __— _.__ __ <br /> METER BO% CONCRETE SMALL LARGE __ i___ _. __.__ <br /> __—"__ "____ __ '—_I � I _ <br /> —___ ..___.'—____ � —_ _ <br /> �--�— <br /> — __—.�'— 1 �_'_ _ <br /> I I � <br /> — __—_— -- <br /> — � <br /> II i _ <br /> — . — _ �� I <br /> --- - � i ��-- - <br /> I ON <br /> ���03_/+�/ OFF SUB TOTAL <br /> DATEINSTALLED: J �Y. <br /> LA\OR AND EOUIPMENf RENTAL MOUR! RATE <br /> COD[ � "� <br /> __I�J=�-�—_ __ --� <br /> � I <br /> NO ACTION I __ <br /> � ------- -- �- - <br /> Will De taken on trrv'_: _ _ — <br /> ---- -- -- aPplications �vithout � � <br /> I - 8acktlovPPraven �on onsu ca.,c�+ _ � <br /> � — i-- <br /> i <br /> _� � TOTAL <br /> REMARKS: 4"/ -- — - T <br />