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' NQPPL... .. _�: ��`::.�t�,�'fr:::'%7 � .� <br />CITY OF EVERETT <br />. �'r APPLICATION FOR WATER SERVICE --- <br />�. .. � FIXED � � ' . <br />� � ��,�rl; <br />G oerostr s � `=- <br />� /^ <br />� ._ <br />SERVICE (�YAon�up � � �� Y � `� �r� � �( ��� � � BLK._._LOT <br />1=i1�'`1 Li.l%'� �` � f�7 �'1;`z�' r'�^'ii ;, � :! -c <br />OWNE� ,' � CONTRAGTO� <br />' . I 11 �LAT--y-�-.� . � .. -. _ . ._ . . r . <br />' - INSTAL� � METLRED SERVIGE. ,� -' <br />1 HEREBY APPLY FOR THE I15E OF WAT� ACCORDANCE WITH THE -��� ��.+� ' <br />ORDIHANCES AND POLICIES OF THE WATER DCPAP.TMENT NOW E%ISiING :,��� � <br />OR AS SAME MAY BE HEREAFTER CHANGE�. a�cNcc:� � <br />�� <br />'j �AATEPIALS I� IN.I 1 IN. I� IN. �� � <br />: PIPE � � �gQ�yo� y-, COPPER - GALV. - STEEL � <br />CORP RAifdj� 3�p�� �7" � <br />-w►+�e-eee�c -a* �?-�o / � s To n Coz�,Y. <br />-� SERVICE BOX� PLASTIC - C i <br />� METER VALVE . . <br />�% <br />�Y <br />METER <br />�� <br />OATEINSTALLED: <br />COD[ � <br />_��I � /."r ,/i <br />REMARKS: <br />:: " 0 � x / <br />SMALL LARGE I <br />i ��� � I {;j{ OFF <br />w� <br />LABOR AND EOUIPMEN PENTAL <br />/ <br />�3 <br />SEI"aVICE , ,. " <br />ORDER � �`:.� Q46� <br />j� ,� <br />DATE II+ �I��g_ <br />w. o. <br />No� <br />ADD. <br />i �}-� � r�l ' I I :� <br />. .��-.4� r -. ...-. <br />PNICE II AMOUNT <br />SUB TOTAL <br />IURS i RATE <br />TOTAL <br />� v m n� r x' µ � u <br />�; "` � <br />`m ��n n.-,r.� c- LG =� � J'..r�'+ t� SERVICE '� Q J L� A <br />l�1 •: . Z u �.t '+ t� l:. 11� <br />CITY OF EVERETT - ti� ,�- � �, ,,, � ORDER �'� ti� 1 V'i <br />APPUCATION FOR WATER SEftVICE �.� v"" N(�•� 1--•�� �.�-� � <br />. ' , . �o EVEREff. WAi�/1NGTDN. �=- 19� , � ' � I . <br />y j ': . <br />. � ..�. " � I C�7��? .�'h+ ..F .T �• �� V^. �O �F C s .. � <br />RECEIVED OF� �' ' ' �,. ...�-) C:�[n�:�i� 1:J �' _ �o :�l n �y�•.� / <br />i_ THESUMOF i l:� � . � j .. �:U ��`_-� � c: �. _ <br />DOLl.ARST_CENTS <br />� � <br />FOR � CONNECTION AT BLK LOT �DO ^ <br />.._ nz[ I � : . . . . � ..-,. 1. FIXED_S <br />tTREET ^ <br />TAP - • AECEIVED <br />No.. BY <br />� 2, WA'iER—S ~ <br />3. DEPOSIT—S <br />.. I <br />