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NOPL ;��'L%/ � CIT'r OF EVERETT ORrJERC NO. . . <br />APPLICA�ilO^J FUR `.V,11'LH SERVICE _ <br />� .7 p�� � <br />� FIXED ��i DA �_ .�• S _197i_ <br />�- <br />� CEPOSIT S �OO No�_ / <br />"" �' / <br />G// / 1 �/� // r`// i_ /q' <br />SERVICE fBYADDNE88) 7-.LP�}o /_7 /� _BLKf� LQ7/ "�i� ��� -._ <br />� �i <br />O'rVNER��'it.Lxt/��� - —CONTRACTOR__--___ __ ___ — <br />�� FLAT <br />INSTALL E�iERED SERVfB��_-- _-- -- �--t- "1---._.— <br />I❑EREBY APPLY FCR TNE USE OF WATFR IN ACCOROANCE WITH THE <br />OFDINANCES AND POLICIES OF THE WATER ❑EP,1fliMENT NOW E%ISTING <br />OR AS SAME MAY BE HEFlEAFTER CHANGED. siGN[o:X _ <br />MATEAIALS ii IN. I 1 �1i. � 2 IN. <br />PIPE c7/�/ � " —�.� _— ___ 'F'�_ ��� <br />.. � I' -- I__ <br />CORPORATION <br />I1.1 +C-iL0 .C1-A//. �� F , � ��I <br />SERVICE '30X PLASTIC -- C 1 <br />METEei VALVE <br />METER No. ��},��-��� TVPE���� �f <br />METER BOX �� ALL_ LAR6E <br />-,t���/ �lni-�,f%F . _ ��7�DLL` - - — <br />--/�� ��- � -- �'S�'- - -- --- <br />-G'lI�?frTT� ---,Q�iV�---- --- - <br />v •�< �-/� {(i 7,3-- '- --, _-._ <br />/, � � ON <br />UATE INSTALLSD: D/.i //Gi -J'7� � ppp <br />�% fJ � <br />CC.�iE 'i LABOR AND EOUIPMENf RENTAL <br />—I --- -- — — -- - - — <br />REMAHKS: <br />PRICE il AMOUNT� I <br />—i —� 'I _� _ _ <br />� I <br />Z� _— <br />+�.' —� — -- <br />-i __ � <br />!� SUB TOTAL <br />H URS RATE <br />_� // ( I' — <br />c35!'J�- — — <br />� ��%z-_ �� --- - - <br />s��, ___ <br />"'�.�-'�_- -, <br />— ;- — <br />TOTAL <br />