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w�P�. a��Q CITY OF EVERETT SERVICE <br /> No. OROER e ' <br /> APPIICATION FOR WATER SERVICE �I�Ly `���9� <br /> �,.FI%ED DATE �}_�ps..f9 <br /> � DEr051T s �Q�� pWj'O. <br /> BL1Z �T <br /> 3ERVICEurwDD�np BLK._ LOT_�—AD��D./���]_�y� <br /> OWN[ CONTRACTOR C 'L�-L7[.�.-�.�.� <br /> K r.�-ryi i^•s.� <br /> INSTAL � M ED EERVIG <br /> 1 MENEBY APPLY FOR THE USE OF WATER IN ACCOROANCE WITN TME . —� <br /> ORDINANCES AND POLICIES Oi TXE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE MEREAFTER CHANGED. eicHeD: X._ - <br /> MATERIALS �IN. 1 IN. I 2 IN. I� PRICE 4MOUNT <br /> rlrE COPPER--GALV.--STEEL — �� � - <br /> CORPORATION ' <br /> CURB COCK OT I <br /> SERVICE BOX� PLASTIC -- C 1 I <br /> METER VALVE <br /> METER No. TYPE: I_% —� __ __ _ _ <br /> METER BOX CONCRETE SMALL LARGE _�_ _I_I _ __ <br /> I —� <br /> � <br /> —_ — I �— <br /> I � —�I <br /> dN <br /> -� DATE INSTALLED: � /�� � OFF SUB TOTAL <br /> ol <br /> COD[ I ABOR AND EOUIPMENT RENTAL XOlIRB N�TE <br /> I I <br /> I I <br /> - _- _ - i _ ___ <br /> -I -- __-_I - __- <br /> -�-- <br /> -I -- � _ <br /> I <br /> TOTAL <br /> REMARKS: <br />