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APP�_` �/ I <br />No. ' (�, I CITY OF EVERETT BERVIGE <br />� nPPLiCATtON FOR WArER SEPVICE ORDER NQ � <br />.�.-FIXED �. DATE�j�(' ._�[ "__�p� <br />G' %C . `� � �t- <br />1 OEPOSIT f` J W. O. ✓ <br />. _ __._ _. /� � No. . <br />BERVICE 1er �Don[s��. /�V_/ . / // J'^v.. �'�t��a�LU --_ . _ .BI.K. . � _. _LOT a Ap���.q.�7}..t� <br />OWNER../_t • //7 �{�y� !/ _.Q� CONTHACTOR _ . . <br />�T. � �..� <br />-��1, �--� - _ - ---- __- <br />F _ <br />IN$TALL __ ETERED SERVIC <br />- _-__- __ ._._..__ '-__. . ._.__.-_ _..___-'_ <br />1 HEREBY �PPLY FOR TNE USE OF WATEH IN ACCOFOANCE WITH TNE �, <br />URDINANCES AND POLICIES OF THE W�TER DEP�RTMFNT NOW EAISTING 7 - / <br />OR AS S�ME MAY BE HERE�FTER CHAHGED eicpco: X . .�� ' .Y_ _. / �,_,,�j __ _ _ _ <br />1 <br />M�TEMI�LB Vi IN. 1 IN. � 3 IN. I <br />�_ PRIC �MOUNT <br />PIP=n�,� COPPlR .. GALV... STEEL ._. _ ___ .. �,?� ' . <br />CORPORATION , <br />_— - _' _. - .. —_ � . <br />CURB COCK OT - � <br />SERVICE BO% PLASTIC �� C 1 I <br />METER V,\LVE / L %jn I <br />METER No. ��C7' TVPE��/yk �� ; / <br />�- O" <br />�METER 60.E� CONf;RET ,��sn� SMALL LARJE. I / <br />��—_v . . ____ . <br />----- ''1��.1�•����i��4Ss /y//��[:s �� ? <br />----_��X �, ��'-7�cr_ F�.4��s�1vo4� . ' 1 <br />---�' / <br />+ ' ��i'/isS �•�� /) / r l . i � �-' �'- � <br />---� c:i•:n�ic.�-r��i2ha`�rcR r.�.�ro�a� � :2 <br />--- I. STai✓Ra:rr dTKwl B.yND,s ' aa <br />�'" BAAs.r 9v ;�- �- i r <br />� ON <br />DATE INSTALLED: /_4 �yJ��/ I OFF <br />G ❑ <br />CODE ', Le00q AND lOUIPM[N! R[NT�I <br />�l <br />- ��9� � ��j� N <br />-- � <br />,y� � r <br />REMARK9: G QTI • '��� <br />i <br />Yi���,i y �5��✓��e <br />SUd TOTAL <br />� HOURS I R�TE <br />I � <br />TOTAL �I <br />/oa � 7t ��-7` <br />i <br />t- <br />