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���-/r9 <br /> A�1'L. ,i 1 � J.,J/�;-"7 CITY OF EVERETT sERVIG[ �o � s i a�7 <br /> {qo. .( � � ORD[R <br /> - APPIICATION POF WATER SERVICE <br /> �FIXED f)ATE—� '��if� <br /> �. <br /> � DEWf1T s (�` 1^�C-L, ry O. <br /> .. sERVIC[ ur eaoen�l i-���� ` - `'' ��� � � .s�K._ LOT ADD. _ <br /> ownu. �''jJ 1)f"7�;�',� �I l�'' N��'�l "'>- cor+ru�cro4�.�� - <br /> 11 ���5 . <br /> IN6TAL ` ( MHT[REG SERViCE_. ___ — - <br /> 1 NEIIElt A�PIt FO11 TNE USE OF W11TER IN ACCORDANCE WITN TNE , <br /> OROINANCES AND ►OLICIES OF TXE W�TER DEPARTMENT N�W E%ISTING � � � /� <br /> OR AS S�ME MAY !E NEIIE�FTEII •.1:Ulo[L` •10N[D: X . _ _yj/I�✓-. _..�G� _—____ <br /> 4:11T[111ALt K IN. 1 IN. � ! IN. I � •�IC[ IIMOYMT <br /> r�� 3HD D�o y CO�PER-• GALV.•-STEEL � <br /> �oR .> � 1 1— � �--�— — <br /> ��� �K--�► ' 95�7 i � <br /> fERVICE !OX PLASTIC -- C I I . <br /> M[TER VALVE ____ __. <br /> METER No. -__._— TYPE_—__— �,�— - -__ --_— _— <br /> M[TER �O ���y'�/'//aMALL LARGE ' __ _I_ _ <br /> � 3(00010�I7 3 � — — <br /> C o4P 3�{vi0 �l 3'�_ z --�- - - <br /> I I ---- <br /> Sadd �f70 5�1�__ !—� �— <br /> I <br /> ' �� _ - � — —�— <br /> n � ON <br /> DATE INSTALLED: I� �9� � � I � OFF SUS TOTAL <br /> COG[ I L11�011 ANp EOUIPMEN f 11ENTAL MOU11! 11�TC <br /> i r• � �- � S. .iez 3 <br /> � -- C . T J�f�Pr%n o�tl 3 _ _ _ <br /> � � � 38 I 3 __ <br /> —3��—��3 <br /> ---- � - <br /> -- — , - — <br /> � - -- —�-- <br /> I <br /> TOTAL <br /> REMARKS: S ER YIc-C- l'-Ojlf SS O F F i11 e.�y_I z!Al� ____ ._ - -� <br />