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I <br /> ; <br /> � <br /> APPL. � /_ O � ' 6ER\'ICE <br /> No, u7 � CITV OF EVER[TT ORDl:R o <br /> APPUCATION FOR WATER SERVICE N_� _�576� <br /> � FIXED DATE_-__ .�. _710 <br /> �ErOSIT ��� /'�� W�• <br /> ❑ 5-41-11_—_ No.____._ <br /> BERVICE 1�r �oDe[o1—_.___-YO a- -f-(/-."�y h/--�-.J�—BLK..__—LM__��ADD.-1./.(/�d1C�Wf� <br /> OWNER--- 1� �I-�-�fjl__. _ __' _ CONTRAGTOR_--_—_____. _ _. _ _ _._—__. _. <br /> INBTALL—�C.�FLAT ED SERVIGE_—�0��- - ----- - - ... - .. -� - ---- <br /> I HEREBY APPLY iOR THE USE OF WATER IN ACCORI `.VCE WITH THE �` / �� � �� <br /> ORUIN�NCES AND POIICIES bF THE W�TER DEPARiMENf NUW E%ISTING I A �l <br /> OR �5 S�ME MAY BE HEREAFIER CHANGEO •IGNED: X �"�� . . µ `« . __ _ ._ .. <br /> MAiERIAL� 1Y IN 1 IN. . ! IN. I � PR�CE •MOUNT I <br /> PIPE COPPER GALV. - STEEL � I <br /> _-_'_. . .__ _ __. . . . __. _ — �..- -, �'_-_ <br /> _ _ _ <br /> CORPORATION <br /> -_ .-__._ _ ___-. _._-_ .-____ -- . -_ - ,_. . .._ __ .. <br /> CUNB COCK .__�T--_ _ — � -�__ I . . �� _ _ .,-��-_' II <br /> SERVICE BO% PLABTIC •- C I I __ � � � <br /> __-. -___-_ . . ._ . . .. _ _ ..__ _ __.. ___-_ <br /> METER VALVE I _ ' <br /> METER No. ������ �-�-� � TVPE: I ' _ _ _ . ___ _ _ ___ ___ . <br /> METER BO% CONCRETE BMALL LARGE <br /> _ . .. __'-'__—I __�.. _ -_ _._- __ <br /> - — .-__. . _ -_._ _ ' . __'— _ — - " <br /> I - <br /> _ -_ _—I -_. _ -_- , <br /> . -"_—� _ . __" __ <br /> _-' _ _ - '_ . _ _ __ ____ <br /> __ -__ ___-_- _I i . . .,� <br /> oN <br /> DATE IN3TALLED: J�J L � �; ' i' '�j I -�-� OFF SUB TOTAL <br /> � � , I 1Oi <br /> COO[ I 1A90p �NO EOl11PMEHf RENT�I ' NOURS R�TE <br /> V1.1 /' ���� '�������� � <br /> __'fi�a —. . .__ {r_C:/� . .`�- —. � . .. . . . ___ _ <br /> � <br /> --''—��aa.� �o I -- -- --- -_-- —_, _- - _ <br /> � <br /> TOTAL <br /> REMARK3: <br />