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xry <br /> �n <br /> >H <br /> C�H <br /> C>" �VJ <br /> H �s <br /> y Z ri <br /> K O <br /> H."1. <br /> '� H'sJ APPL. ' i SERVIGE (`�'� 7 0 3 3 <br /> yH No ,ti) (-� .� �; -� CITY OF EVERETT ORDER <br /> y C - � " APPUCATION FOR IVATER SERVICE ��� i�.. <br /> � �-25,,� �ATE__�_ ,B_:__ <br /> h yd � FI%ED �,�, TO POSTING_.--- " <br /> DEPOSIT - N 0-- - <br /> � c~i� ❑ �LI�-- --,� --- -, <br /> r+ t� - /��f�,}P�V�.t�� <br /> �� n <br /> ri c �'�,a,l_j _c� 'rlt�:� L.���- --a�K. ---�or ��aoa---��R��t— <br /> SERVICE �er�onnn�i--- - <br /> 9 H� � �J — <br /> r Z OWNER I_-L:�Li L�-1L��S+f t�-1.-L.��-� " -CONTRACTOR"_ — -. ..-- - -- -- - <br /> H H .l�/I ' �FLAT 1 � <br /> d �H INSTAU ' ' �4-�METERED SERVICE-.�•� � � � '"� ///��� . . . ._ .. -"- <br /> Q17V1 '___ —_ . _—_'_ _._ —_,�__ _ '. . <br /> I HEflEBY APPLY FOR TME ❑5! OF WATER IN ACCOPDANCE WITM THE � 1�- <br /> Gfl01N.1NCE5 �ND POLICIES OF TME WATCR OEPAPTMENi NOW EIlISTIHG �Y <br /> n �� OR AS S�ME "AY flE NEPEARER CHANGED e�cnED: X �-DL -- � <br /> c_��-"_ <br /> Z y� MATLRI�LS V IN.� 1 IH. i 1 IN. I PNIC 04 <br /> y �� � <br /> p�pE GOPPER-� GALV.-STEEL ��__—� I — <br /> -__._ _ <br /> -- i _.. _' _-. <br /> CORPORATION -... . . -- -�--- <br /> - "_'___ _. ._.. _ _"__ . . _ -i— __- <br /> CURB COCK OT _ �_. ---- -- -�I-- -- <br /> SERVICE BOX . .���� PLASTIC .. C I. . .�. ��" I I _ _ "__. _--.i------� <br /> METER VALVE I. --- I �-- --- <br /> !� _ —- .__—_ _ . , - _. <br /> �t� METER NO_. _..__ ._ TVPE: ' _ __ <br /> METER BO% CONCRETE SMALL IAAG� � I __ — <br /> Im."' ---- —_ , � � <br /> —� i —�— --- <br /> �" --- - � -- - i, — � ' -__ <br /> a I _ _- <br /> 1� I rs�ON <br /> �� DATE INSTALLED: /�I-7/�/ I f� OFF SUB TOTAL <br /> CODE I L100R AND COUIPMI:N( RCNT6L HOlIR4 R.�TE <br /> �� 1 �� 1 -� -- --- _ _ ---- — <br /> _ �- -- -- — <br /> �_�� - -- I -- - --- <br /> , <br /> , - <br /> ------ � <br /> -- -- - - - --- <br /> - ----- --- <br /> --- -- - - <br /> _ - <br /> - -�- - - - - <br /> � -- ._ _ _ _ I <br /> -- TOTAL <br /> � � � <br /> REMARKS: � C�C(„' / ) . . . . - ..- -.^_ <br /> . .. .. _. �_, :., �, . n m �- :��i <br /> ia <br />