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/ � <br />�PPL' � vTC�I CITY OF EVERETT - � �- ) `� "'7_g -S <br />SERVICE <br />'No. � � ��j��� ORDER _ .� . . <br />>FP ICATION FOR/1���,�-�E�R "SER"V'ICE / /�� <br />� FIXED � l/�-{��-wc��_-_ �C,�L�DATE ��.18�f2 <br />/� ��/ "�'�J ����.��� <br />� �EPOSIT S�V 00 ya�v //" C�L'G�u/u�/ ���.[i✓`��/ N� _ <br />a/ (/ /� / <br />SERVICE ler nouREeu1-�`� _ � �� `� h ��BLK._ LOT�AD� �/ /� �/ � <br />JWNER— G A7,�.� CONTRACTOR _ <br />7I. C FLAT ' ' . <br />INST <br />5 <br />I HEREBY APPLY FOR THE USE OF WA7ER IN ACCOPOANCE \YI7H THE <br />ORO�NANCES AND POLICIES oF THE WATEF �EPARTMENi NOW E%ISTING <br />OR AS SAME MAY UE HEREAFTER CIIANGEO. aicr+eo: <br />PIPE <br />CORPORATION <br />CURB COGK OT <br />SERVICE BOX� <br />ME7ER VALVE <br />METER No. <br />MhTEIilALS <br />COPPEH•-GALV.- STEEL <br />PLASTIC •- C I <br />METER BOX CONCRETE <br />DATEIN57ALLED: <br />COOE <br />REMARKS: <br />TYPE: � SS <br />SMALL LARGE <br />I � ON <br />� OFF <br />LAOOR ANp EOUIPMEN�" RENTAL <br />IN.I 1 IN. � 2 IN. <br />l��l-,� � ( 1 I <br />Pnice <br />SUB 70TAL <br />HOUNS � RATE <br />TOTAL <br />SERVICE <br />CITY OF EVERETT oRoeR <br />APPUCATION FOR WATER SERVICE /�/' f 27 �% <br />EVEflETT WASIIINGTON �13v �B- <br />AMOUNT <br />RE�.EIVED OF �� PC D S/�GO <br />�v <br />THE SUM OF __ ._ �OLLAR�=7 CENTS <br />�,�_ LOT_ ��_ADD�I � V�—�G - � <br />i OR CONN[GTION AT OLK. <br />e¢E I/'S_ � _ �t/v �7 :J �. 1. FIXED__S <br />No �J 5'lr�ET <br />"r.1P �/ t�{��--PECEIV[D <br />tla.._YLL BY <br />1. WATER_S <br />�. DEPO5IT_S .G/_ <br />� <br />