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i <br /> i <br /> � <br /> i � <br /> � <br /> � <br /> APPL, /'n/-,� BEqVICE <br /> No. � (fJ(L�, CITY OF EVERETT ORDER <br /> APPUCATION FOR WATER SERVICE N°�] /5—J7 ZQ9Q <br /> ��fIXED DATE._ _- __�"�'I ./.tY(,1L,] <br /> � DE�OSIT s � W. O. <br /> �-___.- No.- _ __ . <br /> /� (�� ^nn �f _ .__._ ._ _ . . . _ <br /> � ` SERVICE f�YAODIIn�)_f.LJIU - -IV�J.�f��.W_-Sl� _..__ ____BLK. .__ _ _LOL�JAOD.�� <br /> OWNER _ � .�__.Lq� �__ _. _ __._CONTRACTOR_-u.y_�J� . ���� <br /> '� ll LAT ._ . _ . . -__._- <br /> INSTAL _ PED 9ERVICE_ ._. -_ _____._ _ __ .. _ __..� . _ _ <br /> I NEREBY APPLY FOR THE USE Of' WATER IN ACCORDANCE WITN THE -C� <br /> ORDINANCES ANI1 POLICIES OF THE WATER DEPAPTMENT NOW ExISTING <br /> OR AS SAME MdY PE MERE�FIER CNANGED ncHco: % _ _ <br /> M/�T[p1�Li Y� IN. 1 IN. II IN. � � PRIC[ •MOUNT <br /> PIPE COPPEV•� GALV. �- STEEL I <br /> '_ ____ _. - _. __.__ . .. _ . ___ �� ._ . . ._ <br /> CORPORATION ���-_ j � —� �— <br /> ___ _ __ _. .. ___ . _ .. _ _._-__ __.-__ <br /> CURB COCK OT � I <br /> _._._.._ _ . .____- _�_'._ ___— _ <br /> _". .. __ . ._.. .___. <br /> OERVICE BOX PLA9TIC -� C 1 I <br /> METER VALVE -___. . .-__._.__- _ __ _ _ __ . __ _. ._. <br /> ME7ER No. TVfE: � �. � <br /> METER 80% � CONGRETE SMALL LARGE � <br /> _ __ _�__-I_ .. . ._ _ <br /> _ _.-___ _. I _ __ _�.._ . _ _ .._ <br /> I <br /> '__ ___I _ ___ _ _. <br /> i __ _- <br /> ._. _ _. ._ . . _ _ .. _-_ '- . _ - . .__.- ... <br /> -'_ . .. . - . __ ..____ __. . . __ __ . _ .__ __ ___' <br /> ON <br /> � DATEINSTALLEO: I � OFF SUB TOTAL <br /> GOD[ � I�sOM ANp EOUIPMEN I RENTI.I HOUR! R�TE <br /> �i1J.J-/� ��- -_ . ___ _. .. . ..__ Cc'a��.f'��"«.'_ .I , <br /> —� ----- —---- - -� - �---- ----.. . _ . <br /> -- - -- -I. _ __... <br /> -- --- �----------- - --- <br /> _ <br /> -- -'- - -------- _ . . . _ _ . . - --� �-- � � --- -�-- .. <br /> TOTAL I, <br /> REMARKS: <br />