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ArrL. '/7J_d� CITY OF EVERETT $ERVICE <br /> No. t7C<(.1.1� qppLlCA�f10N FOR WATER S[RVICE ORo[R �p 559� <br /> DATE__� 1 <br /> �FIXED <br /> W.O. <br /> � DEWSIT s /�� No.— <br /> I�... ��J�l �l/y I��LF���II ��BLK._--LOT� ��L�.C��� <br /> lERVICE I�v ADD����)-- � Q ADD. <br /> Q�yN�„ LUI�IlIP���_JA ���+ • — CONTRACTOR_-1.+G���� — <br /> /� r <br /> IN6TALL�_i_METERE� SERVICE ___ - - -- - — � <br /> I NENEBY �PPLY FOR THE USE OF WATER IH ACCORDANCE WITH THE �� <br /> OIIDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING ��GNEO: X - <br /> OR AS SAME M�Y BE HEREAFTER CHANGED. --'- -- '— <br /> MATERULB 4i IN. � �N. � 2 IN. ' � PRICC •MOUNT <br /> �I�e �LASl—�_ -- � � — <br /> CORrORAT10N � 'S�� _ —�/ �� — - — � <br /> I I <br /> GUR! COCK OT __ -- — <br /> SiRVICE BOX PUSTIC •• C 1 I I_ _ . <br /> M[TER VAWE _ ___ --- ,I1 — ----- � � <br /> METER No. ��{pO A� TVPE� �E��.SIO�IJ_ G__ _ - — -- ' � <br /> METER !O% G�QYiiC/'UN//C19�� I1RGE __ __I _I_I_ — - j <br /> l' /y- 7 7 - �-L--—� <br /> I <br /> -�i-�— — — <br /> � sr�e�Er��`. _ -- --�� - �'� <br /> -_�'�� G.l_ � �— <br /> 7 'S� CU/ ��`Ti��, —� — i <br /> m��e �En� I � —i <br /> V - �cl ON <br /> DATE INSTALLED: �� ��Q_� � � OFF SUB TOTAL <br /> c/ <br /> CQp� 1 L�BUR ANDEOUIPMENlPENT�L MOUR! NATE <br /> I _ ____ / I /�/�-� <br /> I � <br /> I -- - --- — �c��� I � -- <br /> � —a��2._%�--- =��.s��_- — <br /> � --- ------- ----�y�a�_ <br /> i -- -- ---�-- <br /> — TOTAL <br /> REMARKS: _ . —____—_--___—. '_ _—_ <br />