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I �� <br /> rAio�C�S�y��7`� �'�D CITV Of EVERETT ORDERE NO. , I <br /> APPUCATION FOR WATER SERVICE ^ ��J/y <br /> � FIXED DATE_„1�21G_,_3�_ipl�L <br /> ✓ � <br /> � DEPOSIT f ,��5 W.O. <br /> No.__ <br /> __— <br /> BERVICE �■ �on �e�/�/� QL4 J/�/J/J __—_BL���_LW��'aQ_A L�T�/J9� �� <br /> �� � �/ D W —.���s`--1�- --- <br /> OWNE - .__�,(��"r`7�x^�-y'-sLl�-_.___CON7RACTOR_ ._..__—. <br /> // F <br /> INBTAL�_ ETERED SERVICE <br /> . __. .. . ____.. _._-_____. -____.-__-__. .__- — <br /> I HEREBY APPLY FOR ER IN ACCORfANGE WITH THE ���/�J� � <br /> ORDINANCES AND POLICIES OF THE WATER DEP�RTMEIT NCW EIIISTING . `'��_/'7-_ _. <br /> OR AS S�ME MAY BE HEREAFTER CHANGED. ncdco: Jc ' _ ____ <br /> MMERI�L� � IN. 1 IN. 'i 1 IN. I � PRICE .. .� ..AMOUNT i <br /> PIPE A� COPPER- GALV.-P�TEEL A I I <br /> .�-_.. . ._-_—__.__- ___.._ .. __ _— _.. . _ <br /> CORPONATION � �I���- ��--�..�f.._..__� —_ - <br /> CURB COCK .OT __ _ _ , I � <br /> SERVICE BO% � P�L7A7STIC�7•- C I _ I � li <br /> METER VAWE �V L� ./ I <br /> _ _ . __ . __� __ _ . ____- __ _ <br /> __—_-' _ <br /> METER No. �...�' �� 1_ TYPF I:� . �` .,�� ''( � �� <br /> _.__ .�_�-.j , `- ._ -____.�___. _ . _ . ._ __ _. __ <br /> METER BOX LONCRETE��.�Va.� MALL LARGE _ L I <br /> .�< <br /> N/s�� �_3�,�__ � � <br /> ----1 � -- — _ <br /> __�� � 7 c - � ---------- -- _ � i -T_-- -- <br /> - KP - 3 - i!- - I <br /> ---_ -__ -� � - - -�- - - - -- <br /> I i ! i ! - <br /> r� ON <br /> DATE INSTALLED: �/ // '7 // � � I Fj� OFF SUB TOTAL <br /> / <br /> COO[ � L�BOR AND EpU1PMEN( RENTAL MOUII• R�TE <br /> ( - -_"-- � <br /> — I ---- - - - i l.e/lti:Te -- -�-- --- — <br /> — I ��Q -� 1 �_� 1— -� ,,,f -- --- --- <br /> —� -- _ _ �� 0-�`Q ��� 7-� —-�-'L__ --- — — <br /> � -------...- - - _ � <br /> --- <br /> _- ------- ----- -- -- <br /> —i-- ------- - ------_ - ----- <br /> TOTAL <br /> REMARKB: <br /> �' <br />