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�C7 <br /> h� <br /> r">�i <br /> AX1� <br /> C. H <br /> a�3cn <br /> rx <br /> H aa <br /> APPL. / SERV�CE <br />, �c y� No. `�Z(G�'�, CITY OF EVERETT ORDER � <br /> O �O � - �1PP1_ICATIOh! FOR C;'ATER SERVICE �I rj � <br /> r <br /> y fAH � FIXED DATE.—_—__��'J�I.,,,�_18CS_� <br /> H t' _Ff', <br />' S z� DEPOSIT g j W.O. <br />�� [7 OL=] ❑ � � — _— • Na__ __—____ _ __—_'_'— <br /> o H d � �/ z •)c- �� � � -�- --� I�._� 1�. ��_1� <br /> I ".dQC1 SLRVICEfeYwocncesl.�.._1-' l �J_ �l- _ _. -.. ___ -_'BLK.�_�LOT_�.L.�DD i�����r-��_.'_' <br /> H [i7 O <br /> � � (� - ^ ' <br />� �� � OWNER_�(�J- !'YY � .. _ _ ___.CONTRACTOR__ . � _--. <br /> � _ , . � a-� c�, <br /> H -�� �'t'C!_ilY_.L� _ <br />, Z H� /��I FLAT <br />' a H INSTAL� ME7ERED SERVIC '_._ _ .._'_ '___. ___-__... _- ___ n__. _ �...- - _-'_ <br /> r H 1-3 � MEREBY APPLY FORlFN6U9E'O�\�R IN ACCOFD�NCE WITH THC / � � <br /> Ofl01NANCES ANO POLICIES OF 7HE WATER OEPARTHENT NOW E%IST:NG / / � � � i � <br /> OR AS SAME MAY BE HEflEAFfER CN�NGCD. 5i�r+[o: % I �CL�. �/L�-C c L,� . . _.__ . ... <br /> c�i C[�n — <br /> 1AMlRInLS _ —I G IN,i �� ' �PRICE � AMOIINT <br />� � �� CORPORAT���' . . _. /U_';J O C7 � � � 'n �I I .-_ . _" . ._____J __ <br /> G7 PIPE -S'lj ✓ _ I <br /> H O Cn i I <br />, � CURB COCK OT ' j ' i . I <br /> ___ .___.__ . . _. . . . , . . __- . <br /> _. _ . _ _'..._ <br />� SERVICE 60X PLASTIC - C I ' I � �- <br /> _'-_ _ _ . i_ __I. . _— __. . i <br /> _- - <br /> METER VALVE ' <br />, ' �—__ '__ .I -_ .__ ._ - <br /> METER No. 7 ���, Tl'PE:f�/�/�,�lj� �` - . . <br /> . _ .. .. . _ . ._ ..'_-, _. . __..._._ ._. <br />'i '� e TER BO �_�__.COIyGAG�.��rJ� l LA RGE ' <br /> "'_ .. _. _ _. - - <br />� _,! ���J�����. . .. i / ..'—�'_. '" _____._ <br /> I � � � L/ ` . _ .. - .. —, . � -- - -- — — -- <br /> '_ ��7 - � _ � _ — . ._ .. � .. _ _—. . -- -- <br /> e�, � � I I --- <br /> _ - � ---� .. _ .. - -- - ----- <br />� ' - - � �/ � I'I—�.- ---- -- - - ---- I-- <br /> /!'i�'//�G� /�/�fj�l/ �5f L�_ <br /> �_�3—�.�b �_ /�'�. <br /> �. .�.. /J <br /> �-j �.,/ /� �� // <br /> �ATE INSTALLED: G/_,Q„ y j �_l OFF _ {� SUB TOTAL <br /> fo��� / U �L <br /> j P COOE � LAOOR ANO EQIIIPMENf RCNT�L � NOl1N5 RAT[ <br /> . _� / 1 � <br /> � <br /> _ _____ /� _ . . __ __.._ <br /> � C��,�4-�2.L � � <br /> � -- J- � 7 � -� . <br /> �. i _'' C'. '���J C�.�� �/ ' � -- — <br /> — -- -- <br /> _,�-� _ <br /> - ------ <br /> ! � , � _ _-- - <br /> -..,... — - -- _ _ � � <br /> _� _ _ __ _ — - -- <br /> TOTAL I <br /> REMARKS: <br /> i <br /> ti <br />