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a!Nn4n�5...h��.�.:..._..... . . . i <br /> � ^''�'�• A APPLICA'f"ION FOR SERVIf�. <br /> �; NO. �/�� � � a�ItVICE � �� i � �. �.� <br /> CITY OF EVERETT WATEk �EPT. ORDER <br /> .fIXED <br /> � Q' -7 ! � DATE� ~/ ,_f0�4 <br /> i ❑ DEP081T S G .S i / � W. O. � . <br /> , No. <br /> }� BERVICE l�r wooan��- /`l C-� .� /Z /�/,1/T7 ����� ;�� �� ' �� , � . <br /> � <br /> � BLK. LOT eDD.1 ://f T% <br /> 4 OWN<R— ����/�/.':LES � � L Oi.-(Jr <br /> �� ? CONTRACTOR ._ _ <br /> �� FLKT <br /> 4 IN8TAL�METERED SERVICF � �� <br /> � 1 HEREBY APPLY FOR TXE 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 CHANGED, eicNeo:X ____ �' ��_�_ <br /> MAT�p���� � �N' � iN' I 2 �N• I � PqICE AMOUNT <br /> � P�r� COPPER--GALV.-STEGL __�_ ��i <br /> ry GORPORATION — I� I <br /> ' CURB COCK OT I II I <br /> 3�� _I <br /> SERVIGE BOX PLASTIC -- C 1 �I I <br /> ��: METER VALVE _ --- --- - - � <br /> METER No. TYPE: I ;{, �I <br /> pS METER BO% CONCRETE SMALL LARG'e __ —� _— � I j� <br /> d. <br /> t � l�l <br /> s --�-; �- --j�_i <br /> : ; <br /> ; � <br /> _� _ �= I-i ; <br /> ii� i ` <br /> � DATE INSTALLED: �-ON--'�- I <br /> � \ SUB TOTAL <br /> � COO[ I L�BOp AND EpU1PMENT PENTAL � MOUR9 RATE <br /> �I <br /> � � 1 �_ � <br /> _ L --� �� <br /> -- � - _�'���- i _ li i <br /> � �� � - <br /> � � I <br /> _ I �--- - I <br /> TOTAL � <br /> REMARKS: <br /> —��—�—__ —. _ __ <br />