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,•�'r�. �J p Jr�� CITY OF EVERETT s�nvice No 8 O Z � <br /> No. � OROER <br /> APPLICATION FOR WATER SERVICE //���/J <br /> DATE9_O�—�O <br /> �ocrosirs 3U " Td QQ�.Ti�tr �.- _f q � �/9�-� w.o. 3 — <br /> No._ <br /> ��y�E BLK.. LOTL—ADU.�P�� �'? <br /> •ERVIC[ I�v�,. G �p., �_,.���' _ _ �ro��� - _�,/ <br /> �WN� GONTRACTOR <br /> N FLAT <br /> INSTAL�METERED SERVICE__ —- - —�'— <br /> I XERElY APPLY FOR TXE USE OF WATER IN ACCOND�NCE WITH THE <br /> ORDASAS�ME MAY BELINERE FTER CHAN ED�EPAl1TMENT NOW EXISTING ���HEo: X ----�- ---- ----- <br /> M6T[I116L{ W IN. 1 IN. � 3 IN. � rRICE ' AMOUNT <br /> � prE COPPER-•GALV.••STEEL__ �_�� . � <br /> GORrORATION — — � <br /> CURB COCK OT __ _I_ I � I <br /> SERVICE BOX PLASTIC -- C 1 I �_ __-1 —� <br /> M[TER VALVE _ ___. _ — --- --- -- — --- - --- <br /> M[TER No. 1dJL_I _� __ TYPE� pEC��I -'*—.—__ y�_— _—___ _ --- _ <br /> ��_ � <br /> METER !O% CONGRETE SMALL. LARGE I_ _ _ ____ _.__ ___ _ <br /> --- — �_i.—I I <br /> --- -- ---� , -- — <br /> �— --�—,— — <br /> -I i� - , <br /> -- ---�-�-- - I <br /> —— �--J—I-- <br /> - i � � � <br /> // � ON <br /> pATE INSTALLED: O�'i�7�Jy � I � OFF SUB TOTAL <br /> I ��SOR AND EOUIPMENf RENTAL I MO1111! �MATE <br /> COD[ I <br /> � _____-" " .____ �_i__ —_ . <br /> ��{ I <br /> , i __-__—__'—.___---1\V��I <br /> � <br /> --- -- WIII be taken on servica <br /> � —�ppiiC3tt6nS�0it ou a <br /> i <br /> I - <br /> — TOTAL <br /> REMARKS: � � �j�p � — <br /> � <br />