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� <br /> 1 <br /> � <br /> I Z <br /> 0 <br /> APPL. ���;��� SERVICE �t ^� � n <br /> No. � �� CITY OF EVERETT ORDER NO. �Mi J � m <br /> APPL�CATION FOR WATER SERVICE •• <br /> �PIXED • DATE � Z�_19� <br /> � DEPOSIT s '� �} � ��� op, '� T <br /> .. --� <br /> N 2 <br /> �'',(�)•� ��-oe��� 1�i� �-� _� -g - PA�� �, � <br /> SERVICE (�VAODNpp� ��/ C�- BLK._ LOT�- AD�.�� ��l' CO <br /> OWNER��L�.w - L' �T CONTRACTOR � m O <br /> FL'A'�—�• �m <br /> I NSTAL.��ER V I CG <br /> � Z <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITN THE / _ � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �//v . / ,• \ / m �-+ <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. eicN[o: X. (_�� �L��-v� .O Z <br /> C <br /> MATEPIALB � IN. f IN. � 2 IN. � PpICE AMOUNi <br /> rx <br /> PIPE COPPER--GALV.-STEEL — �—� -� N <br /> I I t <br /> CORPORATION T <br /> –'— � D <br /> CURB COCK OT � I ,...�m <br /> I I <br /> SERVIGE BOX� �LASTIC -• C I m '-' <br /> _ �I N <br /> METER VALVE __ _ _ __ _ I_ _ O r <br /> �m <br /> METER No. TYPE: I !y � N <br /> - -- -- ------- � m <br /> METER BOX CONCRETE SMALL LARGE Z n <br /> --i r <br /> ——�—�— . m� <br /> �-� — � <br /> r----- I <br /> -i <br /> —�— — _ <br /> � ';� a <br /> z <br /> �/�� � r ; � � � --- � <br /> _ / � ''• ' . I �' <br /> % J 1:.Y .G.�'Li _r:l� ,! :(� <1% � o <br /> ❑ oN � .'�'-. <br /> D4TE INSTALLED: I � OFF SUB TOTAL n <br /> m <br /> COOE i LABOp AND EOUIPMENTRENTAL HOURS RATE <br /> I <br /> �_� _ _ __I <br /> , _I /} /�� — — I__ __ _. _ <br /> I (/�//��// � I—_ <br /> _I _/__" _ ______ —I_— <br /> �_I I <br /> I __ _. __�- --_ <br /> TOTAL <br /> REMARKS: <br /> ! <br />