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ytn..H <br /> �;n <br /> >H <br /> C�H <br /> C x� /:� t��S'��hG� IG�/G�y <br /> H 'y' $ J SERVICE p <br /> �-; zri NOP� ��3 �� � CITY OF EVERETT � pRDER N_ 6970 <br /> '< y� APPLICATION FOR WATER SERVICE f� 7/�, <br /> O x O OATE__V��"-19� <br /> h� H'�] �� FIXED <br /> � Z� � DEPOSIT s �/ No�_ <br /> �____-' <br /> e7 O t*1 / i 0�� FGJr-nl <br /> Hl7 � 7� � G�GI 1 � /=___BLK.. __ "-LOT_ .JG� AOD. 7P/✓Gl(, <br /> O H SERVICE �er�oonon--- - 0..]__ �r_ _ _ � �' _�%� L- � � - <br /> �m� OWNER__�S.P= �CIY�L_ll.11.�-� -_-_' -'CONTRAGTOR.'__ . _--_—. _ -_' <br /> 5 ] ) � -� <br /> ZH.S INSTAL 3� A- ERVICE_.��_ / / JL''--'L---' _----__.. _ <br /> � yZ I � <br /> I MEflE9Y �PPLY �OR TNE USE OF W�TEN IN �f.COND�HCE WITN iME <br /> �--��-] ONDIN�NCES AND POLIUES OF THE WATER DFP�PTMENT NOW EIIISTIHG / � A� <br /> (� q� OR AS S�ME MAY �E NENEAFiER CNANGEC elcH[o�. % `�j�(:����� . - ��C[.�� - <br /> [} H <br /> � �� MITERI/�l4 I y �M�I � ��" � �N' I PRICE AMOUNT <br /> C Q I � <br /> � C�7� PIPE COPPER-_.:ALV... STEEL . ____ _ ___1 ' __ _ <br /> H OA) CORPORATION __-_ _ . _ __'- -_____"_" ___.__ " . __ _ � i-_-; _" _ _-� . <br /> GURB GOCK OT I ' '.� I <br /> . .__ _ _ _ ___--_-_- '_ -__._ - _ - __"_ <br /> ____ I �-"_ <br /> SERVICE 90% � PLASTIC �- G 1 ___ <br /> . _-_ . __ _ _ _I_ _ '__ <br /> METER VAWE II _ .I - - - --�- <br /> METER No. � � TYPE. . � __ __ _ _' <br /> METER BOX CONCRETE SM�LL LARGE �I __ <br /> '�a t ." __'_. _ _ _ . . . . _--I_-_I _ . ' _ ." _ <br /> I <br /> — _"_"... "-. ' __._. _ ___'._ '__ - _ <br /> �' . �' —� _i " _ .__ "_ - <br /> s -_ I <br /> � _._ _-._-"__. . -- . _�-_ ." _ I _ _ ___. '_- __'_ <br /> �'_ � -_ __'- _. ._ '__' . . , <br /> _" � 'ti'oN <br /> DATE INSTALLEO: j,•i I � ���I I � OFF SUB TOTAL <br /> F �`'�' COOE LAOON ANO EOUIPMEN! RCNTAL MOUN4 R�TC <br /> � y �'�� D 1 - _ - - � - -- - -- <br /> _ _ _ <br /> , <br /> F .,i — --- —_ �- -- - - <br /> - -- - � <br /> _ ---- --- — <br /> _— _ <br /> � - -- - — <br /> � _ _ - - --- - <br /> —-�- <br /> ( - --- <br /> _ <br /> � —�------- - - - <br /> -- -=I - - -- -- <br /> TOTAL <br /> - , . .- � �' - ,-� 7 �"' 7 <br /> REMARKS: � ("'� li i _ '_. _ __ _ —._ <br /> . _. .J_". _ _ ' "_'_U_ _ _ ___'. ..______ . <br />