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APPL. �`5 S'�7� C:TY JI` EVERETT 7ERVICE � <br />No. C� ORDER NO. <br />F�PPi ICAiIr�N FO�'tNATFR S[RV�CE �` yL,�-' �y p <br />09'Y�f�d ._ ._..Ifv /. <br />� FIXED ap <br />� W. O. <br />� OEPOSIT f__._�Q __ No.. ._ - -_. - __ - - , <br />SERVICE IBYADD •1 J�a �._. _/ ���� �y/�" 'y'�'e���v�-`��-- BLK. .- --.LOT-�,1 .I�yBiM'�'�`�� yJ'/u'���. <br />OWNER�L ?N�9___L.C-!"�-' GONTRACTOR.._ .__._ .__._._. ._.___ ._ - . <br />i� � _ <br />INSTALL_�j�.--METERED SERVICE__ - - - -- - / - -� � - -� - <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCOflDAKCE WIiH THE / �1�� / <br />ORDINANCES AND POLIqES OF THE WA7ER DEP�HTNENT NOW EKISTING eIGNEId.,�-" /�� - - -- � _ <br />OR AS S�ME MAY BE HERE6FIER CM�NGED <br />M�TERULB �H IN.�I 31N.I '�_� _ PRICE AMOUN�_ <br />PIPE .. -� __ ._ _. .__ _ __.i =_ II _ _ _ - I _ � . <br />- .- _ _ . <br />LORPONATION COPPER � _GALV. �� 5T _ _ _ i1-_ -_ __ - - — <br />CURB COCK OT ... - _ .__ -- I- . ._ - _. _ . I . . - . __ -_ <br />_ _ _. _ _ _ .. _ -_ __ I <br />SERVICE BO% PLAS7IC �� C I . _ <br />METER VAWE . . -- � -- -- - � - � - <br />— -__ <br />_ __ _ _... <br />METER No. "fYPE: I `� <br />__-___ _ <br />_ _. . _' _' _ _ . __ _.. <br />METER BOX GONCRETE SMALL LARGE � _,__ , _ . .. --___ _ <br />r (��/ I s/t ON <br />S � /�CJY �v <br />DATEINSTALLED: Z (, OFF <br />CODL ', L�DOR �NOEpU1PMENfRENTAL <br />REMAFHS: <br />----- __ _ - <br />=- -- �9��/�/ <br />u <br />�_ _ <br />-- SUB TOTAL <br />IIOUR9 RATE <br />S,Si'X �' l� ___ <br />�C .11�'1c�rP' 1 " <br />�s-:���{ I <br />�� <br />TOTAL <br />