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NoPL ;�� /'��; CITY OF EVERETT `3ERVICE <br /> � �y NPPLICATION FOR WATER SERVICE ORDER a <br /> �8� <br /> � � FIXED DATE_ p <br /> i � <br /> ^ � DEr031T s � -� Wa..O. <br /> � SERVICE ('��r7w�o0eu�)�1� C�� �� R-I.C�CJ,�_BLK._ LOT N ` AOD.— <br /> OWNER I�J� ILL J I / ) CONTRAGTOR�(l1LLL�-_— <br /> l—C'."—� � — — <br /> INS'ML ETEK£D $ERV�CEII � <br /> � �� <br /> I HEREBY APPLY FOR THE USE OF WA':ER IN ACCORDANLE WITH 7HE � <br /> ORDINANCES AND POLICIES OF THE WAtER UEPARTMENT NOW EXISTING <br /> Ofl AS SAME MAY BE HEREAF7ER CHANGED. slcNeo: X . _ _ _��u T _ <br /> !'� <br /> MATERIAL9 w IN. � IN. I � �N• I � PRICE wMOUNT <br /> PIPE �� �/�� r�ee� - - -- �� I . <br /> CORPORATION � � I �- — <br /> r <br /> CURB COCK OT I —� <br /> SERVICE BOX PLASTIC •- C I I <br /> METER VALVE <br /> METER No.�l.Vd---_--. TYPE: E.E��O�'� __ __ —__ ___ --_ -_— _— <br /> METER BOX �1�l6RFFE��I MALL_LARGE __ _ _I � <br /> _/�-�so>3S _ —1— �i--�—�— <br /> ��s -- <br /> �-� — — - � i �-j_ _ -- <br /> r,vl }��25� I <br /> 3 �u/Z���9 �-��- -- <br /> �/�l;��;f!�'Plf .�� ��,Q� ;�>s� I I i � -- <br /> / '/ `�T ON <br /> DATE INSTALLED: / � � �--Qc� I l-'� <br /> �� v p � OFF SUB TOTAL <br /> CODE � L�90q AND EOUIPMEN f RENTAL HOl1R5 AATE <br /> � `� _ I � l <br /> i <br /> I — _ -- "� <br /> I �_I __ �� _ _'____ <br /> ----- -��1��_ i ,� -`r�- <br /> ' - - —3�ZZ�- ! =ti <br /> � -- - - - , - — <br /> � _ --- -�- - <br /> _ � ------ -----�-- - -- --— <br /> TOTAL <br /> IREMARKS: <br />