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'������ �' i�` o CITY OF EVERETT SERVlCE t <br /> N"' r ORGER NO. `-� �! i� 14 <br /> APPLICATION FOR WATER SERVICE �J�, / ' <br /> �' FIXED Oo DATE__L'�j�j_19� <br /> / <br /> � DEPOSiT s S�(� � On <br /> � �.R .____-G��,�'.G.a-__,_� n , z <br /> /� C <br /> 9ERVICElerwoo es� �� �`� BLK.__LOT_ ' tSDL�� �� � <br /> OWNER�� _:�_ _ �/�`^' L_—__--___.CONTRACTOR. __—___- . ._ �1i"�u+r �/ m <br /> S // FI_A - •• <br /> I NSTALL.�" _ <br /> I HEREBY APPLY FOR THc USE OF WATER IN ,1CiORDANCE WI7H THE /1/1� --� T <br /> ORDINANCES AND POLICIES OF THE WA7@R DEPARTMENT NOW E%ISTING �� �IA,(\ /'f, nn��, • ' � y <br /> OR AS SAMF. MAY BE HEREAFTER CHANGED. sicrveo: X .��-SL�tYX�'___-��.a��u�w� N = <br /> — m <br /> _� M! ERIALS )j IN. 1 �N. I 2 �N• I ' � PRICE AMOUNT � v <br /> P�F'E COPPER -- GALV.--STEEL i I m r <br /> CORPORATION -----�_ — ___�_ __I-_..__ I .4_ __ p 3 <br /> _ — -- — L— m <br /> --� z <br /> GUR6 CUCK OT _ , I I I = ~ <br /> SERVICE BOX PLASTIC -- C 1 � m �" <br /> — I I � CJ : <br /> METER VALVE I ' n -� <br /> ----- --- -- — --�------- r � <br /> i ---- — .-� <br /> METER No. 7YPE: � �: I � � �n <br /> -----_—___ . ._____.__. . --___.: <br /> METER BOX CONGkETE SMALL LARGE I p D <br /> ._ — "— __—i_'—I—I __._' . <br /> -------- - _�I- - -� �, <br /> — — —I -- m .- <br /> r-- v. <br /> -- — --- —�------ --- � c <br /> - -- � --L-J— - — o � <br /> — � �., <br /> I , - - - - — � � <br /> -- - m � <br /> � �I ��_ <br /> z c� <br /> — ----- — � .i rr*, <br /> � <br /> I � ON <br /> DATE I��S7ALLED: � OFF SI�B TOTAL =� <br /> COOE I LABOq ANpEOUIPMENlRENTAL HJVR9 RATE � <br /> !-- --- ---i--�� - �, <br /> � - n - -�-- - � <br /> — _ '— �K/-�_J � ' _' _—_ ___— .- <br /> �--__— ''' `�. <br /> I_ - _'—__-_' ___'. ._-_._--____— .— I-- <br /> i I _'__ — <br /> _— —_ '_--—"_..___-'—_ <br /> — I - ---I '_ _ '___ <br /> TOTAL � <br /> REMARKS_r .� L.v 1 \�,(,�, �J�-��NGtv�� �%L'S�JGLL��L� 3 L <br /> V �J /+Y � .S L�PLLG!= <br /> _ _-- �---------- <br />