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�PP=• �q�/� CITYOFEVERETT StHVII:ENo � 8 ] 4 <br /> No. ��7I ORDER <br /> APPLICATION FOR WATER SERVICE <br /> � FIXED .�j/ �/ (���^ /� DATE_���-.-1Y� <br /> O c} <br /> � DErOf1T � /��r/" 7 -Z9-9`{ N c' <br /> � TO PQS�f�NG_ uJ ���Q�r� �s/ <br /> �[RVICE (�Y ADDI1p�1- �� BLK.. L ADD. <br /> OWN[ 5 CONTRACTOR . <br /> INSTAL �/ METERE SERVICE_ —�- <br /> I XERElY AP►LY FOR T SE OF W�TER IN ACCORDIINCE WITN THE � <br /> ORDIIS�S�ME M� BE��HEREAFTER C�NGEDDEPARTMENT NOW ExISTING � cNEo: X - ------- <br /> ,�_'__ _ <br /> MhT[I11�L� 4�IN. 1 IN. � 2 IN. i � PR�CE � �MOUNT <br /> , rlrE COPPER••GALV.--STEEL___ __��- � <br /> I <br /> CORWRATION _ — � - <br /> CURB COCK OT _� I I <br /> S[RVICE BO% PLASTIC -- C I____ I �- � . <br /> METER VALVE __ __ __ __ _ -- -- - -- --- <br /> ur, 7Y --_ ___ —�/ _�I—._--. <br /> METER No. TVPE: ��4�1-�.-,4 .-L�- f � - - <br /> SMALL LARGE � ! � <br /> METER SO% CONCRETE __ _I_ ___ ___ <br /> -- _ -- I � <br /> '_" — -I II — <br /> _—_ �_'— — <br /> �_J_' <br /> - - _—i - — <br /> � <br /> I � I <br /> DATE INSTALLED: ��' � 3 -�"] � I � OFF SUB TOTAL <br /> COD[ � L�O�M ANOEOUIPMENfRENT�L � MOUR6 R�TE <br /> I '___- _ __I � <br /> � _ I <br /> � - -------N�AC-�IE3id—II-- -- — <br /> . � --Wik�l-tdkltf-8T1�L�ce -- <br /> I Backfl w�Preventi�on Consu�n <br /> i � — — <br /> -� TOTAL <br /> REMARKS�D..IOe) p79��Z - <br /> /I�[e,.� /3797 <br />