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i <br /> i <br /> � <br /> ! <br /> o� <br /> S'P.�f lu �afix�j 5�(o�v/ <br /> PP�• ' a CITV OF EVERETT BERVICE No - 6750 <br /> a � ORDER <br /> APPLICATION FOR 1NATER SERVICE <br /> FIXED DATE_��1 O�_ <br /> � DEP051T ��� No�_ <br /> "�°\ �y <br /> SERVICE (�YwDn�Uu1���/ d�--�-/��--� _BLK..--LOT ADD.- <br /> OWNER-.�]6A�S` � (lLIL.L�h� --CONTRACTOR ---- — <br /> INSTALL_.��TERED ERVICE—_ __ - --- �----- <br /> 1 NEREBY �PPLY FOR THE USE OF W�TER IN �CCONDANCE WITH THE <br /> OFDINANCES AN� POLICIES OF TME WATER DEPIIRTMENT NOW EXISTING <br /> OR AS S�ME MAY BE MEREAFTER CHAXGED. •IGnED: X _ - - - -------- -- ..---_ <br /> MATCPIAI� �4 IM. 1 IN. � 2 IH. i I PRICE ' •MOUNT <br /> PIPE �6 (1(•G7V ) ... ��/ �Y / _I__.I__ <br /> �OR RATION 3GC��3��_______ I_�_ _._ _ <br /> GURB COCK OT I I _ <br /> SERVICE BOX PLASIIC - C I J I � <br /> J-_ _ _— <br /> - - --- <br /> VA V {I <br /> . _. _ _-_. __-. — _—1__--. _ . __ __ . .__.. _ __- _-.- <br /> _ [o��Y�— -- � - — / .. . I - — --- <br /> METE No. TYPE: I `S <br /> -__ -- -�.—__-. ___�I _ . <br /> Or.`OT�� <br /> METE BOX _ '_. __ SM*�-��F- __ _J 'J - ___ -__-_ ___ — <br /> �Q�f/'3t�� ic v> NO ACTION ___.- - _--- — � � I---- --- --_ <br /> iLGb�`�� � , � i � <br /> (�a/ �� Witl he t�ken on service ___ — <br /> ,}�}p�.�yrl7�ti4 arn�iications wilhout a I i I __ <br /> 6�ck(lov� Prr.ventiun Consu tatTon � —� � <br /> .CFrr 3�-a x —�-� - - --i— --- — -- <br /> 3s•9ai SE[ INS16E --- - - i --�--- — <br /> ------- -- �I I ; - -- <br /> ' ' — <br /> '.-..�' n °" <br /> OA7EINSTALLED: I � OFF SUB TOTAL <br /> CODE � LABOR ANO E0111PMENf RENT�L I NOUPS RATE <br /> I — --"- -�-�--I---- -- — <br /> � --- _ ����-m�'--- — -- � <br /> I ?- i .3y �--- <br /> -- ------- n_— <br /> -- - - -- � <br /> ' .Er„+.Y'c.l�.JV�� �_ I <br /> ' __ ._____ _. __—_. __. ___— — <br /> —I —— _ � —.. _—__ -- �. <br /> � —_ ——--_——_ _ _.——__—�y--__ --_ — <br /> � I <br /> TOTAL <br /> REMARKS: ___ _ .. _ _____ _.___ _� <br /> � <br /> II <br />