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( r- <br /> � <br /> I <br />�II <br /> 7 <br />� <br /> I <br /> i � <br />� APPL. 73U6�( I <br /> . »Wo. ^ / / CITY OF EVERETT SERVICE <br /> ` � APPUCATION FOR WATER ScRVICE ORDER NO. =4 �.15 <br />� � FIXED a DA jFAu��__19� <br /> I � DEPOSIT f �"�SO O' . 00 , <br /> I �`G- ��f a��-c��-s <br />� SERVICE (BY ADDPE9Y�-���� � '�'� � 7r� BLK._—_L07 ADD. <br />� OWNER- CONTRACTOR__ <br /> _� <br /> t FLAT <br />� INSTAL ETERED SERVIC ' _ �_ <br /> I HEREBY APPLY FOR TNE USE �W� IN ACCORDAHCE WITH THE C�� / �= <br /> ORDINAHCES AND POLICIES OF THE WATER DEPAflTMENT NOW EXISiING �-- <br /> I OR AS SAME MAY BE HEREAFTEF CHANGED. Bi�NEo:�.. � D' <br />�I M�TERUL6 Yi IN. 1 IN. � 2 IN. I��� PRICE AMOUNT <br /> /[ COPPER-•GALV.--STEEL �Z I - <br /> ICORPORATION ��SaQ�_ � � I_ _ <br />� CURB COCK OT I I <br />' SERVICE BOX PLASTIG -- C 1 I <br />� METEIi VAWE� UC- L O T ____ _ <br /> METER No. �O6 Z �/RS/� �.._—E� /�QG� I' I 4 - � — <br /> 1 _ _�___ �_ __ _ _ <br /> METER BOX CONCRETE P/0.SJICSMALL LARGE 1___ _ <br /> �Q �I 1^e SO / —__..__—.Z4� I _� -__ <br />� � _ I I – — <br /> . L �3/- Z ---� — — <br /> _ 5�0 / l,s ��c�u-�.e �,� S� I <br /> - ----- - i � -- <br />� I I I i I --- <br /> ON <br /> DATE INSTALLED: (' •-/D r (,y3 OFF SUB TOTAL <br /> n � <br /> COOE � L�BOR ANOEOUIPMENfpENTAL MOURS RATE <br /> ' I �T�X�3� <br />�� � -- L,C�u � I_ 3 ,� -- -- <br /> � 3Wi�es �ylll 13 " -- -- <br />, � ��"� -�f .�3so--�.�_ ,� - <br />� i �t��vZl3 �"- - — <br /> ii - -- i— <br />; _� --- --- — -- �--- — - — — <br />�, <br /> TOTAL . <br />� L REM.RKS: <br /> I J <br />