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APPL. I��� t/ CITY OF EVERETT SERVICE � � <br />N�� � 7 ORDER NO� ' ' ' <br />APP�ICAiION FON VJATFR 4ERVICE /�/ �1Q� <br />� FIXEO .�n D�F�i�N/ �^/ _. Id�� <br />� DEPOg1T s�.�.� � No� _ _ . ._ __ _____ <br />/J /' /-� G � 7 <br />�J� /' �a,(-//�f}`'�+ � , <br />SERVICE �ev �Dp�fai oO_ � ./ ��(�., �. �_ p�� � _ . BLK. _ _. _LOT�Y/ tL4�G6 �u <br />OWNCR/S�C�.(�'�QESd��"!'> '/ �'p` " CONTRACTOR. ____'—"__"._ _ _ . _ <br />INSTAL �7 .__ _METERED BERVICE . _ ._ _— . _ . _ _ <br />I MEREBY APPLY FOR TNE USF. OF WATER IN ACCOR��NCE WI1H THE / <br />OR�INANCES AND PO�.IQES OF THE '4ATER DEP�RTMENT NOW EXISTING `/�[' �� ¢ � 4' <br />OR AS SAME MAY BE f1EPEAFiER CH�NGEO aicv[Oe-X�(F-fC ��% . . .. . __ <br />__ i / <br />M�TEPInLS ' 4 IN. � 1 IN. i IN. � I PRICE AMOUNT <br />PIPE _ COPPER �- GALV. -� STEEL�—�) I �' <br />'_ —' __'—'_ . _ . —__ .I' —_ . <br />CORPORA710N �� <br />._ _— ___.__'_ .. . .'—_ <br />CURB COCK OT � ' <br />SERVICE 80% PLASTII; � C I I <br />METER VALVE <br />. _'_.—__..... . . .___' <br />___"—_ _ ____._— __._. <br />i <br />METER NG TYPE: ; '4 <br />METER BO% CONCFETE SMALL LARGE � <br />_ _ _ .. <br />. _ --._- —_'_ '__—__ _ _ _ "—. _ _ _ _I � _ ._ <br />___—_—___ _'—I �_' ' —'__ —' <br />DATE INSTALLED: / _/ � <br />(c.. <br />cOOE ' <br />.--__.__ _ __—_. <br />� <br />-' -- <br />--� --- _ _ _ -_ <br />-- <br />REMARKS: <br />N ON <br />y�. <br />_ � "L r� OFF <br />L�BUP AND fOUIPME1.r Rf.NT�L <br />�,�� ���d/ <br />__l <br />SUB TOTAL <br />NOUR9 RATE <br />`�, f�� ' i fik' . <br />-- -- `� ' ���'-' r,\ � � � - -� � - -'— <br />�1i1 � � --- <br />TOTAL <br />