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�: <br /> APPL. � / ,/� C CITY OF EVERETT 6ERVICE <br /> No. ��7 7 <br /> � ' APPLICATION FOR WATER SERVICE ORDER N� 5260 <br /> � FI%ED OATF__���/�_��y� <br /> p DEPOSiT f �� W.O. — <br /> No. <br /> SERVICE f�rwooeu�I—lE(Lll_7_./I,p�.rLl—,Q_/Ijfj�[���///✓��,��'�����7���j,j��, .BLK._ LOL._� ADOJJ_i_O__9_yp <br /> OWNER „ �IVJ r"flf�r�'�,� CONTRACTOR�A.C)j.�__—_-__ <br /> INSTAL _METERED RVICE_. <br /> I HEREBY APPLY F(1R THE USE OF \YATER IN ACCORDANGE WITH THE �� <br /> ORDINANCES AND POLICIES OF THE WATER DEP,IRTMENT NOW E%ISTING � <br /> OR AS SAMS MAY BE HEPE�FTER CH�NGED. slcr�Eo: X <br /> _ MATERIALB �' �N. 1 IN. � 2 IN. i I PRICE �MOUNT <br /> PIPE COPPER•• GALV.-•S7EEL � <br /> CORPORATION � � <br /> CURB COLK OT � <br /> SERVICE BOX PLASTIC -- C 1 I <br /> METER VALVE <br /> METER No. ��6_ TYPE:---� I y — ---- -- - -- -- <br /> METER BOX CONCRETE SMALL LARGE <br /> --I --- __.__ ___— _ <br /> I <br /> _—I _ - - — <br /> I <br /> __� — _ -- <br /> I ( I I <br /> ON <br /> DATEINSTALLED: � n 7 y-7 � OFF SUB 70TAL <br /> f J !) / <br /> COOE I LIIBOP AND EOUIPMENf RENT�L NOUR9 RATE <br /> � ('�i1TaPr?rif'd/1 I ;. <br /> I <br /> � ����`1- -a--3-- -- - �-- ---- --- <br /> � � <br /> � -- - � - -- <br /> _ I � <br /> TOTAL <br /> REMApKS: <br />