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i I <br /> �PP� �(��� 7 CITY OF EVERETT gERVICE <br /> NO. ORDER �0 �� C� <br /> APPLICATION FOH WATEH SERVICF :7 A <br /> OATE_. -- ..�.- � f Y .11 <br /> � FI%ED <br /> CG- W.O. <br /> � DEP06IT f � __ No.---.-_..-. - - --- <br /> (i a I/'`7H ` L I ;1� � � <br /> BERVIGE ��rAoon[ul----7�✓' -�-ly—P�,��{.-�._---__--BLK.._-___LOL .W _ADD.`Uf_,Z911_L11iLQ_ <br /> \ <br /> OWNER—.-_ _.- !V.]�'_- ��_ _ ___.__ <br /> ___CONTRACTOR_ _ <br /> -.___. _ - _. _. _. _._-._ . _- <br /> i' CP�LAT�, � <br /> INBTAL�`J^'�'�RED BERVICE- -. _. ..- ------- - -- --. .. - - � -- <br /> 1 HEREBY �PPLY FOR THE USE OF WATER IN �CCORDANCE WITH THE <br /> OROINANCES AND POLICIES OF TME W�TER DEPARTMENT NOW EAISTI4G � <br /> UR AS S�ME MAY BE NEREAFTER CNANi;ED slcHco: J( <br /> MI�TERI�Lf V� IN. 1 IN IN. PRIC AMOUNT <br /> p�pE COPPER•- GALV. --S7EEL f � . . I <br /> —_ -___ __-___ . .. __ . . _ _ _- . .__ _ . _— <br /> CORPORATION � _. <br /> � I <br /> �.._ _ __—'_-___'_— _'_- . ._..- _ __ . _ _ ____-_ __-._ ___.— <br /> — _ .. -_ _' _____-._-._-- <br /> CURB GOCK �T I I <br /> _ - —___.-__ __. .. ._. .. . . __ -.__- .. <br /> __ _ <br /> SERVICE BO% PLABTIC - C 1 _I,___ _ . _____ _ .___. ____ <br /> METER VALVE � -- - <br /> _--__ . i <br /> ._.__ _.—.—_ _ . -_ <br /> METER No. _ TVPE: '' '� <br /> METER BO% CONCPETE SMALL LARGE � � _ . .__ _ <br /> _ i --I _- <br /> . i " — __ .. . _._'_ _ <br /> —__-___. . _ i I <br /> ___—__—_ . ._.___ .._'_'_ _' '_ .- _ _ <br /> � -.. . .-_ —_ <br /> ' - I ___ __.__ - _ -__ <br /> _-'._-. __ .—' __ -__ . __- I i <br /> . . ____ . . _._. . _. __ _" __ .. <br /> _ _. ... ._ I I I. <br /> ,J ON <br /> DATE INSTALLED: ,� 11 �_ '- .� I,!UV I � OFF SU9 TOTAL <br /> COD[ I L�EOp AND EO�IVMENf RENT�L ' M011R9 P�TE <br /> t <br /> I, � l�.l .��J��_��7/7-li . .. ._._ . � <br /> ___.-____ "__ _. . <br /> i _ . _. _ . _ "___. <br /> � ._ __"_ _-__"____"-__-_" _ -_ __ <br /> i .. " "__"'__-____-__. _ .__- __ <br /> --� _._ __._. _ _ <br /> _-I __ "" . _ " __ <br /> -i -"__-__ . . � �;I <br /> TOTAL �� _ <br /> REMARKS: . _ - -. <br />