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�C7 <br /> n <br /> ah <br /> �zH <br /> r z�' <br /> H 2 r�-i <br /> K O <br /> H:u <br /> SERVICE �„ � <br /> �'�] H'TJ <br /> �rP�. CITY 7F EVERETT ORDER �' 614s <br /> V1 H <br /> � z� N�• qPPLICATION FOR WATEF SERVICE � I,, l�`j <br /> OATE_I�_-I-1C�-19 ���1 <br /> yrJ FIXED -�� � <br /> O H ❑ / f•� I W.O. <br /> .'TJ �C7 � DEPO5IT f �. � 1 �� NO.._------- <br /> � <br /> 47� O i ii� 1\ I _ <br /> H 5 Cl,�i� I ,:�-�� r,._�ll,_�._�-1�-_-_BLK._ LOT_—ADD.__ <br /> 'T. i-V'S SERVICE (DY AODREen= - <br /> aym • ,. ��' J� <br /> - GONTRACTOR- -- -'---- <br /> r H y OWNER_ � _ - . .�- <br /> ���/I +�FLAT_� <br /> C7 p� - -_. _-_ . _ __--_— <br /> O �y INSTAL � �� METERE� SERVIGE—_..__.--- <br /> -- -- <br /> I HEflE6Y APPLY FON THE IlSE OF W�fER IN ACCORDANCE WITH THE w _ )l <br /> � �H OPDIHANCES AND POLICIES OF THE wGTEN DE?ARTMENT NOW EAISTING e1Gr+Eo: X ��� � � - --- - -�- -�---- <br /> OR AS SAME MAY BE IiEfiEAFTEF CN/.NGE� - <br /> 4 IN. � ��'1. ,, I �N. I P IC AMOUNT <br /> H O V� MwTERIA45 � � <br /> PIPE COPPEP.-- GALV. �- STEEL I ...� . I _. .._L--.'..__. ._..'-'- <br /> __. . <br /> . .. . .—I�-- . I I <br /> �__ _-----____ . . � - . <br /> CORPORATION ___ -._--- �— —j- I - - <br /> .. _._ .__._. . <br /> CURB COCK OT _______ I_ I __ _- - - <br /> _'__ - I _- <br /> SERVICE60% PLAaTIC CI ___ ._. _ -- - - - <br /> _.._ <br /> __ _ I . .._' _' - . '- <br /> - � � � ' _-- _J_. _ . _ , _ _ . <br /> ` METER VALVE _ , .. .. <br /> '. <br /> ' w _.- ___. ._ . . <br /> TYPE: I . _ � <br /> � METER Nu. - <br /> � -.. . — _ -1 . <br /> -__ <br /> METER BOX CONCRETE SMALL LARGE I _I__. _ _ ._._ ._-- --- <br /> .__.._.. _'_ _ . . .. .. .. __I , i <br /> _ -_ . _-. ._ ;I I 1 <br /> Gwa,.. ,� . . .i_____ __—L—_._-_ — - <br /> _._ _ i <br /> ' --'__--_ � � <br /> �:�: , ' __ -'_- -- <br /> s _'-'— <br /> _"__-_"-- � I_ <br /> __'- " __ <br /> •"" o _ '_ _'___ _"_- _- <br /> ' � . _ . _ """_._ _"_ __ __I.-_"_ - <br /> _____.____.. .___.._ � <br /> . .... --I'___�i_ _- I __._ __- <br /> ___"-____..__ . . __...-_ . .__' � <br /> - _ '_� <br /> � n`� � ON I <br /> � } � ^ 5 SUB TOTAL <br /> ,.-„� /..[�/� / I � OFF <br /> OATE INSTALLEG: S <br /> COOE � ` LABT� E�V�PMENfRENTAI <br /> MOl1H5 RATE <br /> .,, . .s �_I .��1� `-"J-_—__—__' ___.—'___—_—__.—_.__.__.. _II—.— ___ —__ <br /> I <br /> �,,,�1 —II, --- - - --_- — ---II-- --, --- <br /> _ ----- - - � --- - — <br /> � - - -- <br /> -- --- <br /> -- ----------- I <br /> — ---__ -- -- - � <br /> --- -- — <br /> _. .. <br /> _ I TOTAL <br /> REMP��.a. . _._._. - . -_---'__'_ ---�- <br /> � <br />