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� eArrL. Si'n� }'p �)d1', n•7 S�io/q� <br /> % No. o� � '�/ J8' CITV OF EVERETT RERVICE N° 6 �'48 <br /> , APPLICATION FOR WATER SERVICE onoEn <br /> � � FIXEC DA7E_���y� <br /> � DEWlIT �� a yy � <br /> „"� No._ __ <br /> i Q/)Q T /�� � — <br /> BERVICE (\Y ADDR[O� 7 J`�( I,NI dA���r"' _BLK.. LOT ADO. <br /> � OWNER_ �_/Jll.1._L/iN _CONTRACTOR_ <br /> 1 �-� � � — <br /> IN6TALL I ( u� rl �rnleERVICE______.__ ___ _ <br /> 1 NERElY A��LY FOII 7HE USE OF WATER IN ACCORDANCE WIiN THE / <br /> ONDINANCES AND POLiCIES OF THE WATER OEPARTMEHT NOW EI(IiTING �, ��. / _ - — — <br /> OR AS S�ME MAY 9E NEREAFTER CHIINGED. ncr�Eo: X /a�iL__ <br /> MIITERI�L/ � �H� � �N. I � ��• I � PRICE •MOUNT <br /> PIrE 3��,( (��c�7 COPPER-•GALV.-STEEL �-u�—� -{I � <br /> OR RATION� 'j�(�� 7 Z y� - � , i —�I <br /> CURB COCK OT ___— —j I� <br /> SERVICE BO% PLASTIC •- C 1 I <br /> �I_ _ —_ <br /> METER VALVE ��nET�3L^CR y•7y7 <br /> ` -_-. _ _ I— '_-__ _- _ ___. � _ _- _ _ _ - - ___ <br /> �METE�Tfu. ,�83 TYPE: J,�'� �N i 1S <br /> �-�z-���7 - -- � - � _ J— —�---� -- -- <br /> METER BO CONCRET SMALL LARGfi _ � i_ I <br /> 3RdA�v�oi�ov� ��CiiOfd � � - ;-I - ---- - - <br /> CC4P.96Gc EL-Y7 ------- ------ — I I �� �-- —_ <br /> 4RP o i . �'���on�s Pvlrc-- - -- -- --- —_ <br /> " a�r ic. csns-witha�t-e--- -L� �-- <br /> I <br /> CGy/'.�[Ci. !- SY7, r .. -- - —1 <br /> --�{-r;y.a'�l�1C111101i�flI15L�7tlOi1 __ f I I - <br /> S<il'.�3�5�1] �:r.- IIJS:I2E_— -- J � �—i--- --- — <br /> � �— �----i--- --- — — <br /> �� I � ON <br /> DATE INSiALLED: // /,�� y,a OFF SUB TOTAL <br /> fJ <br /> COD[ � I.ABDP ANU EOUIPMENf RENT�L � MOIIRS RATE <br /> —��--�—Z�� -p� - ---- ----Q�i`'�'sc�_. _� - -- — <br /> — _— .SrF":ti_rN --I- - <br /> -- --- --- '�A�'KE � — — -- ---- ---� <br /> - - -- ---a�� �_-_ -- - -- - <br /> --� --- ���r��- -- 'S°6' --�---- - -- ---- <br /> - li_ <br /> - -- - -__ - - - ------- ---- �- -I- - -_ - <br /> - TOTAL <br /> REMARKS: <br />