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"� Se,�f �u ����F�,��j �-3�-ti� <br /> NOPL �"� J� �✓� CITY OF EVERETT ORDERE N� 6801 <br /> APPLICATION FOR WATER SERVICE <br /> � ;1;J %%,, <br /> � FIXEI�y � DATE__ .1�J.�L'_ <br /> .�-� � ^ n ?� <br /> n DEPO�IT e /n/ /____ � L //�-�/ W. O. <br /> G -.�E'l� No._ ---_ <br /> � <br /> O �, ,-I,k� � �(..� � i p(�`h! <br /> SERVICE�r �ooBEs�' u1�lm-l-o-1- 7•a-11S-'�o- '�� A-���f��---LOT._-ACD. ___ <br /> `¢O � ���.t./ ��j{/p�(� a.p C�fJ tO�� O O O H �'..!_ <br /> OWNE�:�!-v._O_�[�"-uF'��-F_����ro��+GON�7RA�fDR-�'J-4-�—_- _. _. <br /> INSTALL'"���+�7�$ti�IC - f_ �'^ '� <br /> p [ �,. �pp—� �N e-�P���] eo--r* --------- <br /> I HEREBY}[Q�;'APtY�OH'�l�E n'O1����/�ryqTER y�gN A�QCyORDSCCpC��TpH itltr0 � �-��,� <br /> ORUASASA�'C MA I� �Yj�'J�f(� p�•p�p��•O�u3T�O W+�4+� t21 . � -� - <br /> 'VY �� ��hlYY^'VJ"�('] TI'l 1 1 .. . .._.. ... . .__ <br /> 1�1 f� T !'Y rT <br /> � � � �M�fT�ITiL�Sg � 3 � � � � � � ��V.�I�fJ3�N./ � I PFICE 'I AMOUNT <br /> PIPE ______., GOPPER -- GALV.-- STEEL ��___L.._..�._ _ . __.J <br /> _ _.— _.. . .__.. _ _____ <br /> CORPORATION _ I _I <br /> CURB COCK OT I f <br /> SERVICE BOX PLASTIC -- C I I <br /> METER VALVE � _ I <br /> _ -'Q�_ _ __ � I.� -_�— '-'_I- _ ._ _. _- ... ..- _-.- <br /> METER No. �j `/ TYPE: S X i <br /> P7 __-_ �___ ./y_�_'_'i' ._ ' _-__ _. '__ _ .. <br /> METER BOX CONCRE7E SMALL LARGE '� <br /> _.-__ <br /> __�. _'__ -' __ - - _. <br /> __--_ ___-___' _— I - —'� <br /> —t��O--AGTaO�I ----� —�-- --- <br /> -- I � <br /> — W i e a e"n on--service- —I --_ ___ _. <br /> --,�„�roas--4.'itl�aut._a-- — ---- -- - <br /> -----r—``�' Prevention Consultation - --- � - I - - <br /> �;EF. INSIDE - � ��� -I —� - — <br /> � ON <br /> DATEINSTALLED: � pFF SUB TOTAL <br /> COOE � LAOOR AND EOUIPMENfRENTAL NOUPS RATE <br /> I-� ��J--__ _ .___. .___ __-'- -'"_- -__-I ". -- __ _ <br /> I __I --_ ___ ' <br /> -_ ----_ _ "_ _ �__ -___- - <br /> I __ __ �_'_____ __- --_ -_" <br /> ___-_--____"_- _"_.'_-_-_-- "__".___-_--__'--_ <br /> I I _ - <br /> _--I -__._- - _" . _ " __-_ _'_ .___"-'_- __ -- i <br /> TOTAL <br /> REt+tARKS: <br /> - ----�1"L���"�'�. C�=�---- - _------ . _- — _ __ ------- - -- <br />