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� <br /> I <br /> Na��' z621z CITY OF EVERETT oRoiR6 NO. �� .C`77 � <br /> � � APPLICATION FOR WATER SERVICE <br /> � RIXED DATE APril A _ �0 86 <br /> � D[rof1T s 400.00 w. o_ <br /> � 4832 Glenwood Ave D R°binett-Dire SP <br /> f[RVICE (�YADDRp�] — BLK.. LOT ADD. <br /> o•.vN� �blfl2tt-D1LE __ _CONTRACTOR D.G. Brandvold Corp. <br /> 3/4" ur <br /> INfTALL RED 9ERVICE—_--- <br /> 1 HERElY AMLY FOR THE USE OF W�TER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER UEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY !E HERE�F7ER CHANGED. s�cNeo: X _ _ <br /> MATERIAL� 1� IN.� I IN. � 2 1 I PRICE AMOIINT <br /> �Irlr[ '�t¢�¢ CCPPER--GALV.- STEEL S <br /> CORrORAT10N '�'DO�_ � _ <br /> CURB COGK OT �_ I �_ <br /> SERVICE lOX� PLASTI -- C I I <br /> M6TER VALVE <br /> M�TER No. TYPE: � I K <br /> METER BOX CONCRETE SMALL LARGE <br /> I!'L ���- �T��� �Y�o.�.a � f ��c W P r a�, J I—I � <br /> �- - W����� i --) <br /> , �- --, <br /> -� <br /> _ --� <br /> r i � <br /> DATE INSTALLED: j� � I � OFF� SUB TOTAL <br /> COO[ I � L�NOR AN� EOUIPMENfRENTAL J XOUN6 RATE <br /> I �rr 3 _I__ � <br /> I ��ro 2 i S� — <br /> I _ _ ���i s - <br /> ' ^�aa�.�ai �e�/��_I 6' _ <br /> I _ n/las'��—�-� <br /> --I -- �— <br /> TOTAL <br /> REMARKS: <br />