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� <br /> � � <br /> APPL�� �i �� (;ITY OF EVERETT SERVICE r'� �"' ' <br /> Np, p���' ORDER NO. . ,- , <br /> APPLICATION FOR WATER SERVICE �/ <br /> � FIXED Q DA�`CC�_� �L—�8/ � <br /> QI <br /> � DEPO5IT s ,��J` _ ryp�__ <br /> - 5d�- rr�i.��� , <br /> //V � T//�l�r ,..�, /! / <br /> SERVICE ter�ooneeal��—�-4�?`?`�L—��' "uLf�LK._.L�LOT�..2�AD��f� <br /> �j �/� / i <br /> OWNER�L.���_3K_�j�-��' GONTRACTOR— — <br /> ��--�`� � <br /> INSTAL � TERED SERVICE—_—•---- — <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEREAFTER CNANGED. eicNeo: X . _— —M�-'�OA=~ __ <br /> MMERIALS I L IN. 1 IN. � 2 IN. I � PRiGE AMOUNT <br /> I <br /> PIPE OPPER:- GALV. -STEEL / <br /> CORPORATION � I _ <br /> �CURB COGK OT I I I <br /> SERVICE BOX LAS71C'•• C 1 I I _ _ , <br /> METER VALVE _ _ <br /> METER No. TYPE: -....� .. I �4 — ------ �_ —� — — <br /> _ . ..__--_ ._ _—__. ...— _ --. _ ._ __ _—_ .— — <br /> METER BOX CONCRETE SMALL L.1RGE _I_ _ <br /> _ �X 5�:f�c --1=3i� 3:4Dn�C _ _ � __�— <br /> � �— <br /> I <br /> I <br /> --� - - <br /> ---------I I I I I i <br /> � ON <br /> DATE INSTALLED: r_ /G__ J� � pFF SUB TOTAL <br /> CODE � LADON AND EQUIPMENfF[NTAL j HOl1RS RATE <br /> —i — ---- --- - --�-�'-�-i�-----II!`,--- --- <br /> —�r, !'/�'b'T fd iJ ' — — <br /> I �-�I'<// I�- -- <br /> , /,�� „ <br /> ' �/"f�r�_��- ---- <br /> -� --��'� <br /> � --- - � - <br /> -� I <br /> � TOTAL <br /> REMARKS: _ _ . _ _ _ _� ___ <br /> — _ t... , <br />