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� � � <br /> � � x <br /> q H <br /> aH5� <br /> yxH <br /> fC f� <br /> H � <br /> �1 H 'ii <br /> V1 H <br /> t�70� <br /> H C7 <br /> OH �y <br /> N lTl O <br /> G)� C) <br /> r H� NpP�" � -7 CITY OF EVERETT ORDERE N° � � O B <br /> ����� / APPUCATION FOR WATER SERVICE �// <br /> � C7 CP ,�. FIXED OATE �Y�-1B� <br /> ��� � DEPOSITs �d�_ TO POSTING�' � ��%� W.�. <br /> No.___— <br /> zy �n <br /> H o rn � �, _ /� � ( C �'�G(qP�vrio <br /> 3ERVICE �eveoonces�—.-�—�> >- /-- N �-,�1 .i/—BLK.-_�-aT—�AD�.—_�.P�'k-6.(� <br /> OWNER�✓-����-�--���-��'-K+-�'7�✓-�-i-T/�t'CO/NTRACTOR � r�lL'lL ----� <br /> INSTAL � � I' 'M67FA�Ef'9'G1�VICE—l--�� ��--L�-1 � 'l ,''-___ _ _ __'___ <br /> I HEREBY APPLY FON TNE OSE OF W�TER IN ACCORDANCE WITH THE ��^ f <br /> ONDIN�NCES �ND POLICIES Of THE W�TER �EPAflTMENT NOW E%ISTING / � <br /> OR AS S��E NAY BE HENEAfTER CHANGED. 6�crvEo: %/- - --- -- <br /> --- NATERUlS Si IN.�I 2 �� I PRICE I I�MOUNT <br /> ��y <br /> p�pE COPPER��GALV._!iTEEL _ _ _ I � _ _ I _ <br /> CORFORATION � � I�_ _ _ _ —. — <br /> CCRB GOCK OT — --�—'---- �_ _- _��--I � __ . .-J _ <br /> ,_ METEft VALVE ____ _ _.__ __-__ _. . _ .__ I_�I �.._-- - ". <br /> SERVICE BOX PLASTIC C 1 I_ <br /> I �_ <br /> 1 -__ '____ '_ ..- '__'_ __'.- <br /> � � <br /> METER No. 7VPE: _ __ . I . _ _'__',__ __ _'_ _ <br /> � METER BOX CONCRETE SMALL LARGE <br /> ' _'—__- _ _ _.__ '-'_ I__L� ' <br /> � '�s _- _- ' __ -- <br /> ,�•_' -�J-1-_" _ <br /> � I i _ <br /> , �A�� — _ ._"___". —_ '-_ _-_I—_II _i— —_ —_ <br /> __—- _"_ _ _" . ._. __ . ."._ -_"-I_-. I__i—.— _ — <br /> + ��ON <br /> ' DAYE INSTALLED: S ./!L�I n OFF SUB TOTAL � <br /> a��� <br /> COOE �� LA�OR dNOEOUIPMENfNCNTAL �� NOlIN4 fl�TE <br /> I — I — <br /> IO��� _� _ � <br /> —f�-CT10N-- � <br /> � � �"lill be tikcn a� service----- �-- ��- ----- <br /> --- — <br /> �.� -- - - p-,5�� u , tnY�c"l �- � i <br /> �. t � � .;�, .� C .: �] �_.��!sthOn ---- � --- -- - . <br /> —___ <br /> �1 •'� --__ _. ._-_.__ .-_._( . _ . , . <br /> \ —i __- — ._ _ _. . . _ _. . ___-__ __ __-_ _ -_ __- -_ . <br /> TOTAL <br /> _ �-.. _��i . <br /> REMnRKS: ,)L . �i, �`:� i� ,1 � - ______ '- — — <br /> . . _ . _ ._ _ . - � <br />