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Y:;; <br />/� ;P i2-z�-y <br />r�.io ��aS�J�� CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />� FIXED � <br />� <br />� DEPOSIT s �iO <br />� .:_�� � <br />7 / <br />SERVIGE 9 ;'; n <br />ORDER NO. �-r tl � r; <br />DA'i��-��� _18� <br />S�RVICE (eYwpnRess) / L_�Zc_ BLK._ LOT�A�1 <br />OWNE _ - CONTRACTOR <br />// � <br />INSTAL � METERED SERVICE <br />I HE4EBY APFLY rOR THE USE OF WA7ER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER UEPAR7MENT NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTEfi CHANGED, etcr�eo:X._. <br />Mr\TERIALS �/j IN. 1 IN. � 2 IN. <br />P�FE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURD COCK OT _ i <br />SERVICE BOX _ PLASTIC -- C I I <br />METER VALVE I <br />_METER No. ___ TYPE: I 3f _ I_ <br />METER BOX CONCRETE SMALL LARGE <br />I � <br />DO.TE INS7ALLED: (�J'�/ri��% I — -' OFF <br />�_ V� <br />COOE 1 LABOR pND EqUIPMEN'fPENTAL <br />( <br />REMARKS: <br />/�-� <br />PRICE jj AMOUNT <br />SIJB TOTAL <br />HOUqS � R\TE <br />TOTAL <br />