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APP�� ���� / <br />No. f � ,. <br />� FIXED U <br />% <br />� DEPOSIT n <br />5�3.�_ <br />� <br />SERVICE (er �unness)_� - <br />CI7Y OF EVERETT <br />APPLICATIC�N FOR WATEP SERVICE <br />� <br />SERVICE <br />ORDER NO. <br />�j / � <br />DATf��� :-J� ---19 � � <br />W. O. <br />� � LFL97i <br />INSTALL-��!—METERED SERVICE-_-.- - --- --�— <br />I HERCBY APPLY FOR THE ❑SE OF WATER IN ACCORDANCE WITH THE r'-"> . �.' <br />ORDINANCES AND POLICIES OF THE WATER UEPARTMENT NOW EXISTING -+� � / j i`��. '--__ <br />OR AS SAMF. MAY BE HEREAFTER CHANGED. sicNeo: �=L�T_�C_���-.,_---- --� -- - <br />_- MATEFIALS �n IN. 1 IN. I 2 IN. � I PRICE AMDUNT <br />L--l- � <br />PI����--COPPER - GALV. -- S7EEL -S� � I__ I_I____ Ii I___ <br />CORPORATION _ � i � � i � - — <br />CURB COCK OT _ _ <br />�SERVICE BOX PLASTIC - C� _�� I I_ _ � _ <br />`_ --- � <br />METER VAWE _ __ _ - -- -- <br />METER No. "___ - __ ._-- -TYPE: ___ _- I_-i_ _— <br />-__--___-____ _.. <br />METER BOX CONCRETE SMALL LARGE __ __ <br />— — fl' /,S`o 7.7 — 'Z —I —, I,— — <br />r7y ON <br />��i <br />DATE INSTALLED: %^ Z// _ 7� � OFF <br />7 <br />COOE � L�DOp AN� EOUIPMENfRCNTAI <br />I . . _—_ _ .��: <br />_I .- _ __ -_ -�� <br />- —__ _--_ / <br />I__-__'"_-'_ <br />� �/�%���// f <br />__I _ " l_F-1 <br />REMARKS: <br />_.�-_L �_�— <br />SUB TOTAL <br />HaURS � RATE <br />