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APPL. nS{� ,"�` CITY OF EVERETT ORDERE NO. �- <br /> No. a� ;'�. . .', ' '� <br /> APPLICATION FOR WATER SERVICE �j� � '` `� ��� <br /> � FIXED � DA7��,�ysv_ie� <br /> DEPOSI7 / <br /> � ❑ s Sd �,�U3 "�— <br /> � ' ' ���-� <br /> � SERbICE (BY AOORE88) K._—_LOT ADD. <br /> OWNER,.�-.+J rl ��,1• ^ � _CONTR CTOR_ —`— <br /> ii FLgt— ,� �,� <br /> INSTALL�_�IETERED 5E-- RV��_ �j-r�c�' � <br /> I HEREBY APPLY FOR THE USE OF WATER iii ACCORDANCE WITH TkE <br /> OqDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �/�Z`J�'i���J <br /> OR AS SAME MAY BE HEREAFTER CHANGED. e1GNED: X __-- � � <br /> � MATEFIALS �/i IN. 1 IN. I 2 IN. � I PRICE AMOUNT <br /> � PIPE � �(� COPPER-- GALV.••STEEL Q� —� <br /> ; � � � _ <br /> CORP ATION ��� <br /> � CURB COVK OT � <br /> SERVICE BOX PLASTIC -- C 1 I I <br /> METER VALVE ���.� ___ I _ � --_ — -- <br /> METER No. '� 2 s � I pg � <br /> � —_—' <br /> METER BOX CONCRE `��e�SMALL LAR __ � — _ <br /> �/' . -��.�,_- 6 , _ � �� � / <br /> �_>) _ I� ��� - <br /> C__P�4e}.t�r-s�� r��2�y�i1� _I � <br /> � � (�` `�� I <br /> � -- -- ��- <br /> —i_ _I <br /> ///��� � ON <br /> DATE INSTALLED: �// I �LL I � OFF SUB TOTAL <br /> l 1 <br /> COOE I LABOA /1ND EOUIvMENT RENTAL I HOURS RATE <br /> — � �� � — - --��� — <br /> — '��' `� �e�l�,o.� I 8/r.�. _ — <br /> ���ri� , �} —18 �-,� _ <br /> - J�� �� � -- ---��/ D --�� -- <br /> -i ---- <br /> - � ---- I - <br /> TOTAL <br /> `� REMARKS: <br /> 'i� 'r <br />