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��� <br /> Q � <br /> (A <br /> H � <br /> K n <br /> �O <br /> �N �tl <br /> GO N <br /> x <br /> H <br /> o�d TO POSTING�fs,c.� � <br /> �`t+ntl � NQ�'L• .��I LI� CITY OF EVERETT 9ERVICE �� �9 2� <br /> ORDER <br /> APPLICATION FOR WATER SERViCE <br /> �1 H� DATE_ _18_ <br /> ,�y y � FIXED <br /> 1 7 W.O. <br /> �� � DEPO3IT s �� � � , No.— <br /> H �.�, . <br /> ���� SERVICE/(��v wooeu � ��� ��"��� �� � BLK._ LOT ADD. <br /> F]fA OWNE �-`�' ����' � � � �'� %-• CONTRACTOR - <br /> O V1 I� FL-A'f—`� � G .� 3 <br /> � � ' INSTAL � - METERED SERVICE.�— � <br /> I <br /> I HEREBY APPLY FOR T OF-WFTEI�IN ACCOPDANCE WITH THE f �_ � .1I — <br /> OH ASASAME MAY P E�IHE E FTER CHANGED DEPAHTMSNT NOW E%ISTING g�GNED: X . - - '�.�--� - `�(A��ah/Y� <br /> MATEflIAL6 Y� IN. 1 IN. � 3 IN. � PRICE AMOUNT <br /> p�p�- COPPER- GALV.--STEEL I <br /> _._. i <br /> . CORPURATION _ __ _�I � <br /> � CUR9 CGCK OT I I� — <br /> i���, SERVICE BO% FLAS7IC_. C I __ ___ —I — — — <br /> ��► MCTER VAWE . __ . — _ _—_-_- _— -____- --_— _-- <br /> 1 � MEPER No. �(P�G�_" __T�pE_ =griv_L`�_ `S __ "--—__ _— - � <br /> , � METER BOX CO C E SMALL LARGE �_�___I' ___ _ _ <br /> �� _ _HQT�-- --- I _L--- <br /> ' ---�'�'�it}-"C�;akert-vn'��scrvic��---- — — � <br /> � ����il�rif'nnc �vifhouL�_ '---I --i—I-- — — <br /> Backflo•.v Prevention Con�ultation __�__�_ � <br /> I �..�. SEE fNSIDE ______ __—� ��— — - <br /> � � � _ <br /> ! I � � �' � <br /> � ON <br /> rd DATE INSTALLED: I � OFF SUB TOTAL <br /> COOE � LADOR ANO EOUIPMENfRENTAL HOURS H�TE <br /> � �� 1 �� .^i ;'j � - -- ----II— <br /> � <br /> � � -- <br /> ' � ------ — I -- ---- <br /> � � —�----— ---- II--- _ <br /> —i ---- ---.._--- --�— <br /> TOTAL <br /> r <br /> REMARKS: �� ���� ���1 ,si��`r�L-. .______—_._ —_ <br /> �� � Lr�— � <br />