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APPL•.�I � I <br /> rvo. pZ/�� CITY OF EVERETT ORDERE NO. J �_ <br /> APPLICATION FOR WATER SERVICE <br /> � FI?CED o DATE� � __�9_�� <br /> � <br /> � DEPOSIT s ��__ W, p, <br /> =icf Na. _ <br /> SERVICE (sv AODqcgg���J _�_�OZ{l��/'� BLK._ LOT�7 ADD(�� .�.p�� <br /> n /l <br /> OWNER!�J1� /? � ��-- � _CONTRACTOR_ <br /> // <br /> INSTALI�y METERED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOFOANCE WITH THE �— <br /> ORDINANCES AHD POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. eicNeo: X�Lf_L7C�r����2p�,L_ <br /> MATERIALS �/ IN.' 1 IN. � 2 IN. I PpICE AMOUNT <br /> — --- 30" � <br /> PIPE COPPER GALV.--STEEL <br /> CORPORATION <br /> CURB COCK OT i <br /> SERVICE BOX LAS71C_- C I I <br /> METER VALVE __ _ _ I —-- — <br /> --�METER No. TYPE: I 7S <br /> METER BOX GONCRETE _ _ SMALL LARGE � <br /> — I _— — <br /> I �_ <br /> � I <br /> . . ' _— ___'_ _ --I—�I— - <br /> � � ! � I �� <br /> �ON <br /> DATE INSTALLED: G_ /s_ � � � OFF •�O� , I / SUB TOTAL <br /> � N�'uJP�/ <br /> COOE � L�BOR AND EQUIPMENfRENTAL � HOURS RATE <br /> —� _.t,_�c�.s,c�—I ,� <br /> � ! -�Yl__C(.,LP P I a– -- <br /> � S �_-/ <br /> —i - -� - -- 1 ��—i - <br /> —� __._ - ---- �_� -- <br /> _� — ---- � - <br /> TOTAL <br /> REAIARKS: <br />