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r�io��� CITV OF EVERETT °E^�icE <br /> APPLICATION FOR WATER SEqVICE onoE� , <br /> � FIX[D DATE__—.—�y— <br /> � DEr0�1T � W. O. <br /> r`"� <br /> No._ _ <br /> � ![RVIC[ ��r�on�u��_ BLK.. LOT ADD._ <br /> OWN[R __ CONTRACTOR <br /> FLAT <br /> INlTAL�- _METERED SERVICE_—____._ <br /> 1 NEREEY AP►LY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> OROINANCES AND POLICIES OF TNE WATER DEPARTMENT NOW E%ISTING <br /> OR AS S�ME M�Y BE MEREARER CN�NGED noM[o: X ____ <br /> M�T[111AL� R IN. 1 IN. � 11N. ..- �-�-�- PI11CC � "� AMOUNT <br /> r��E COPPER--GALV.-• BTEEL <br /> CORPONATION —� <br /> CURB COCK JT � <br /> , 6ERVICE BO% _ PLASTIC -• C I I <br /> METER VALVE <br /> —__ '-. _. .__. -_ __ __—_ —___ _ _ ...__ ._ ___ _-.- <br /> METER No. _—___�_ .._ TYPE: ..—_ I k _ _'— --I -_ _ -__ __ . <br /> M[TER BO% CONCR6TE SMALL LARGE <br /> --I —�=i _.___ ___ <br /> I � ' � <br /> I � .1—_ _—_-_ <br /> __---' _--._ -___ I � I—_ — <br /> I � i <br /> /` ON <br /> r -•" DATE INSTALLED: I O OFF SUB TOTAL <br /> COO[ I L�SOR AHO[OUI�M[Nf R[NTI1L MOUPf PATE <br /> I <br />�I I _ _'_ .. _—______ _ _ __-I__"-_- _— _ <br /> � �-_- _- - _._. <br /> __ _ �_-.- _-__- _ '_ <br /> I -_ _." _ __"_ _ __ -I '_— -_ __ _-"- <br /> =I _ -. _._ _ _____� . <br /> TOTAL <br />' REMARKS: <br /> CITV OF EVERETT SERVICE <br /> ORDER <br /> APPLICATION FOR WATER SERVICE <br /> EV[6[TT. W��HINOTOH._-'-'-_._._-1Y__ <br /> RECEIVE� OF _ —__--___- -!. ________ <br /> 7HE sUM OF _ __DOLLANS CENTS <br /> FOII_ CONN[CTION 11T/LR, LOT ADD._ <br /> 1��� •II[ <br /> 1. FIXED___-i- <br /> No.— - __DTREET <br /> 2. WATER-__f <br /> 3. DEPOSIT_-f__ <br /> 'f/1r PECEIVED �_ — - <br /> No. Br.— <br />