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� <br /> x C'H-� <br /> �9y <br /> A�x <br /> C �-+ <br /> 9Hcn <br /> rx <br /> t� 9 3 <br /> � zH <br /> K � <br /> y� <br /> 7H� <br /> �n H <br /> SERVICE <br /> � O� � Ho?'-� l� r/L�{���' CITY OF EVERETT oaoER �-� G � l 4 <br /> HC7 �� � � APPLICATION F01t WATER SERVICE . � ce <br /> O H <br /> ,{ FIXED DATL'— I`I�=1(�i-� <br />�� H ij7 O (�7- �1� ��. <br /> I r.�.{V � � DEPOSIT s I i W.O. <br /> Z H� � �- No.---____-_ . <br /> <-��•'��'Y�I;I CYt <br />� rHy ���� � ����_��__ '1_ -1'�Zs.rst._ - <br /> SERVICEIBYADOPEiBI-. �- ��� -�BLK.-_-__LOL- ADD� <br /> O y H OWNER_�Z` Lr�J� ` � � �, 7` 'JG� ,/.--�CONTRACTOR_��LLi�---- - <br /> 3 t+�C -i II (F�Ar_? .. _� J 7—[, ' -- <br />�I INSTALL__��-�_METERED SERVICE_ _�_ - "-/--�-------"---'--'- -- --- - - - � -- - <br /> ' I HEfiEBY APPLY FOR THE USE OF WATER IN ACCONDANf.E WITM TNE �'� <br /> z y y ONDINANCES AND POLICIES OF 'fHE WATER DEPARTMENT NOW E%:STING ty�1 � `��- ` <br /> II y 0� OR AS SAME MAY BL HERELFTER CHANGED. eicr+m: % '�-1_� y—` - - � --- � - <br /> � <br /> ��'��� PR IC E� <br /> wwTCRUl6 � 1 IN , 21N. ' AMOUNT <br /> ���_._ — <br /> PIPE GOPPER-� GALV.-- bTFEL �I�I , _ <br /> .. . . .. . . ... ____. _ _' . . . . ._. _ i_"-_I _ .-__ "- <br /> _-_ .. . . _'-, I I <br /> CORPORAiION i ____ . . � <br /> .__ r..__. ..I.__ -_' . -'-__-- <br /> .___._. _ . . . _-__- __. _ _'— ' . <br /> GURB GOCK U7 � � __I_I_� _. . . . _.� <br /> __-._ _- __ . _-__ -. . _ '__ <br /> '�� SERVICE BOk Pl ASTIC C I I <br /> -'- "__. ' _ -- _ _ ' _ __- .._ . <br /> �a� METER VALVE � I <br /> — _ <br /> ._. .. _ .. . I -- . _- ___ <br /> METER No. TVPE�. ' '� _. . <br /> _ .__ . _. __ '_ _ .-- ._._"' -__ <br /> ��' ��' MFTER BOX CC�NCRETE SMALL LAFGE <br /> ..-. -_-- .__. __ - I I"_ . . _ _- _' <br /> ��� � . .._—'____. <br /> . . li__ _`�_:_-_ _-. _ _ <br /> --_._-_.- _____--_ . _ . I i _' <br /> I I -�__' <br /> ..- � -_ . -__ -_--_ __'. —. <br /> e _ __ '_ <br /> � � -- ---�— --J--'-- - -- -_ - -- <br /> �`-� — --- -----— � <br /> _ - _ _ - - -�i -1 -- ; _ --- _ -- - <br /> p""',_— --- — -- — -- -- — <br /> , 1 — -- --- — --_ __ _ - _ --i — — I <br /> — � � ON <br /> DATE: INSTALLED: �9 �_� OFF �-tirS'� SUB TOTAL <br /> I <br /> " n COOE j LABOH ANO EOUIPMENfPCNTAI HOlINS PATE <br /> �_I � �- � �_' --- -- - - -- - --------� _-- -— <br /> i <br /> �"' _' - - -- ---- <br /> - ---- -- -- ---- - <br /> .--- — i <br /> - _- - - <br /> — ----- ----- � <br /> — — -- _ ---------- - -- — <br /> , ---�--_ _ ._-- <br /> - — ----- --- <br /> —�-- _ _ _ ----- -- � -— <br /> - - __ _ _ _ _ <br /> TOTAL ' <br /> REMAHKS: l,l.�.�VI .� ���� i .. <br />