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APPL��� � CITY OP EVERETT SERVICE � . I <br /> No. ORDER NO. � _. . � <br /> APPLICATION FOR WATER SERVICE y�.� / � � �C.� <br /> � FI%ED D'0/j�_ ? _-19i—,�. <br /> � DEPOSIT s �j�� No�— <br /> a c7 � <br /> SERVICE tav nooaeeol �/ ���� BLK._.�lLLO��/'��AD� n� <br /> OWNE��-' _ � —CONTRACTOR `� <br /> INSTAL 3 � METERED SERVIGE--- — — , <br /> I HEREBY A�FOR 7HE USF OF W�TER IN ACCOFDANCE WITH THE � — �J� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING � Li7 '��� � <br /> OR AS S�ME MAY BE HEREAF7ER CHANGED. s�GNEo: 7(� ___—_ __-- _ <br /> i ��� MATERIALS �' IN. I IN. � 2 IN. I � PRICE AMOUNT <br /> i� ' _ I I <br /> F'�PB �I .l..V,:��t-�� � COPPER•- GALV.--STEEL <br /> COR O N �-I , - _, _ . � / I� � . <br /> � <br /> CURB COCK OT � I I ( <br /> SERVICE BOX PLASTIC • C I I I I <br /> METER VALVE <br /> METER No. TYPE: I '.S <br /> METER BOX CONGRETE SMALL LARGE <br /> . � ��. �' �.� 'c. 1 ( !� `,-�-�w�.� 1 �5� I —l� <br /> ' -' ._..�Y` <br /> � `, � '�' 1�� � "--•-T- � � I <br /> - , = <br /> � --I -- <br /> � <br /> � II I � I <br /> ON <br /> DATE INSTALLED: ,' � � .- �� .� '�, I � OFF SUB TOTAL <br /> COOE � L�DOR ANO EGUIPMENT RENTAL NOUPS R�TE <br /> � __ �_ �� -L.,.�. , " c �' <br /> --� - - -J �-C-'==-I <br /> �,. <br /> -i L� I _ , =I-� - -- -- <br /> , ��_- �s � a_ I -, <br /> � <br /> i - - -- -- � <br /> � ----_ _- _ ---- �— – <br /> TOTAL <br /> REMARKS: <br />