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APPL. '� � '7� (y. CITY OF EVERETT BERVICE � 6136 <br /> No. G� J d ORDEC� �� <br /> • APPLICAI�ION FOR WATER SERVICE �/� <br /> FIXE7 DATE_�L_�L t Oc�-Yr <br /> � DE►0f17�� W. O. <br /> � �lo. <br /> 5id� Srx�v�n«. I.Ja�i Sea�;ew .L <br /> SERVICE c�v�oosq��_ � �_BLK._�LOT��ADD._L�L4�1�,T___ <br /> OWNE�� 1 CONTRACTOR <br /> 7� FLAT — <br /> INSTAL REp gERVIC� _ <br /> I HEREBY APPLY FOP THE USE OF WATER IH ACCOND�NCE WITN THE <br /> ORDINANCES AND POLICIES UF THE WATER DEPANTMENT NOW EIIISTING <br /> OR AS SAME MAY BE HEREFFTER CHANGED. ■ICHED: X . _ <br /> M�TERUL� 14 IN. 1 IN.� 3 IN. I � +CE AMOUNT <br /> r�rE 3ytXoo6�7 COPpER--GALV.••STEEL � <br /> GORP ��OO�,g_� I —��_ _-- — <br /> ��Ra �«.,�--a 3¢0o y5�{ 7 I I — <br /> SERVICE Bf•X _ PLASTIC •- C I I <br /> IRe�t�-v�-v£,�LO S� �j�Et^W l.^Q �d — — -- <br /> �•�3�foa395� 7_ TYPE: ---�=` 1- — — — -- --- <br /> METER OX .—�'.9MG1!l��j1/�75MALL LARGE I <br /> ��3�0003�1 --_—� — <br /> 3 ov 3 z __I_ —� <br /> oa Z 7 / I <br /> 5 ��1e�GBy 7 - — -L—� <br /> 7� lbs �ofd �.,�X-��w1. S � — �- - <br /> � 15d re ir h(n . I —� <br /> � ON <br /> DATE INSTALLED: s— Q _ O I OFF SUB TOTAL <br /> U CJ <br /> CODE � LABOpANDEOUIPMENfRENTAL MOURS RATE <br /> � S. J G <br /> —� C T, ��fK I 6 <br /> � — — L` 38 ��— --- -- <br /> —� - -- 3.Sd5 I W <br /> —� _.— ��05 I 6 <br /> _ j ---'— — <br /> TOTAL <br /> REMARKS: <br />