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Ip� <br /> ArrL C� i '7�`� 9lRVICE � <br /> No.� ;�{ �0�1 v , CITY �JF EVERETT ORDER n,o. 5 0 4 3 <br /> - APPLICATION FOR WATER SERVICE <br /> � FIXFD DATF ��--1G� � <br /> // � <br /> {� DEWiIT � . N O, <br /> � ��.� ��t3 � /'��,, y���,y/� <br /> iERVIC[ ( D�u�) ��� � �,��BLK._ (LO�T�� ADD.SJS�l1� <br /> owN�w � �1 J'd� Ci.�3'iZ) a. c�N�e��roR V TF� e� --- <br /> uT <br /> IN6TAL�� D SERVICE — _�����(( <br /> I HEREBY A►PLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �n �(1 Q �/�� <br /> ORUINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �J��,�_� <br /> OR AS SAME MAY BE HEREIIFTER CNANGED. e�cr+eo: X _ <br /> MAl'ERIAL6 w IN. 1 IN. � 3 IN. I PRICE �MOUNT <br /> rlr6 COPPER GALV.--STEEL _ _� _ <br /> CORrORAT10N <br /> CURB CUCK OT I <br /> 3ERVICE BOX PLASTIC •- C I I <br /> ME7'ER VALVE <br /> N�'TER No. TYPE: I N <br /> METER BOX CONCRETE SMALL LARGE <br /> - —_.— I � — � <br /> � <br /> I <br /> I <br /> I I I <br /> ori <br /> DATE INSTALLED: /7 � f / I OFF SUB TOTAL <br /> - �-N b <br /> COD[ I LABOR AND EOUIPMEN'f RENTAL HOURS RME <br /> I _�,r►r�:ra�' — <br /> � —� {��- — �-- — <br /> ; t I <br /> — �— <br /> � --- - <br /> I <br /> TOTAL <br /> REMARKS: <br />